Organization
MENDONCA CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS M MENDONCA DC (OWNER)
(503) 449-9745
Entity
Organization
Contact information
Practice address
344 BROADWAY, REVERE, MA 02151-5016
(503) 449-9745
Mailing address
171 BRISTOL AVE, PAWTUCKET, RI 02861-2240
(503) 449-9745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3086
MA
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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