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Organization
MANIBOG CHIROPRACTIC CENTER INC
Active
Organization
MANIBOG CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MANIBOG DC (PRESIDENT)
(510) 357-1351
Entity
Organization
Contact information
Practice address
369 JUANA AVE, SAN LEANDRO, CA 94577-4810
(510) 357-1351
(510) 357-1365
Mailing address
369 JUANA AVE, SAN LEANDRO, CA 94577-4810
(510) 357-1351
(510) 357-1365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0250810
BLUE CROSS BLUE SHIELD
CA
Enumeration date
11/02/2006
Last updated
01/02/2014
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