Elyssa N Waller

NPI #1962947960 in Marianna, Florida

Provider Information

NPI Number: 1962947960
Entity Type: Organization
Organization Name: Elyssa N Waller
Primary Specialty: Chiropractor
Enumeration Date: Dec 29, 2016
Last Updated: Dec 29, 2016

Practice Location

Address: 4729 HIGHWAY 90
City: Marianna
State: Florida
ZIP Code: 32446-6820
Phone: (850) 482-2373

Authorized Official

Name: DR. ELYSSA WALLER, DC
Title: OWNER
Phone: (850) 482-2373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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