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Organization
LY CHIROPRACTIC, INC
Active
Organization
LY CHIROPRACTIC, INC
Active
Other names
VALLEY WELLNESS HEALTH GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM LY DC (CHIROPRACTOR)
(510) 303-0807
Entity
Organization
Contact information
Practice address
4950 HAMILTON AVE STE 109, SAN JOSE, CA 95130-1748
(408) 256-3865
(408) 550-1974
Mailing address
4950 HAMILTON AVE STE 109, SAN JOSE, CA 95130-1748
(408) 256-3865
(408) 550-1974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29804
CA
Other
Enumeration date
11/16/2013
Last updated
02/02/2019
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