Individual
DAMIEN FERTITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10049 MARTIS VALLEY RD STE C, TRUCKEE, CA 96161-8132
(530) 582-0110
Mailing address
2485 BLUE HERON CIR, RENO, NV 89523-9530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
28229
CA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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