Individual
ALICIA MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1410 W LAMBERT RD UNIT 222, LA HABRA, CA 90631-6553
(909) 337-6236
Mailing address
1410 W LAMBERT RD UNIT 222, LA HABRA, CA 90631-6553
(909) 337-6236
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
33081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33081
LICENSE
CA
Enumeration date
05/23/2022
Last updated
05/23/2022
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