Wanda I. Nieves-Moreno, Dc, LLC

NPI #1639463516 in Brandon, Florida

Provider Information

NPI Number
1639463516
Entity Type
Organization
Organization Name
Wanda I. Nieves-Moreno, Dc, LLC
Primary Specialty
Chiropractor
Enumeration Date
Jun 8, 2011
Last Updated
Jun 8, 2011

Practice Location

Address
654 E BLOOMINGDALE AVE
State
Florida
ZIP Code
33511-8111
Phone
(813) 685-5200

Authorized Official

Name
DR. WANDA I. NIEVES-MORENO, D.C.
Title
MANAGING MEMBER
Phone
(813) 685-5200

Specialties & Taxonomy Codes

Specialty
Chiropractor

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