Provider Demographics
NPI:1215662655
Name:CINTRON, JEZLYNNE DARICE (DC)
Entity type:Individual
Prefix:DR
First Name:JEZLYNNE
Middle Name:DARICE
Last Name:CINTRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-9141
Mailing Address - Country:US
Mailing Address - Phone:787-682-5733
Mailing Address - Fax:
Practice Address - Street 1:3218 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-1638
Practice Address - Country:US
Practice Address - Phone:803-276-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor