# DR. PATRICIA ANGELICA ESTRADA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316267081
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2002017116 | MO | Yes |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 08/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5009000009, MA473300 | MEDICARE PTAN | MO |