Organization
CHIROASIS A CONNOLLY CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE CONNOLLY D.C. (PRESIDENT)
(310) 306-4828
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY, SUITE 252, MARINA DEL REY, CA 90292-5423
(310) 306-4828
Mailing address
4560 ADMIRALTY WAY, 252, MARINA DEL REY, CA 90292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
CA
Other
Enumeration date
02/03/2009
Last updated
05/17/2010
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