Organization
INNERSPORT CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LEE GREAUX DC (OWNER)
(510) 883-1126
Entity
Organization
Contact information
Practice address
1250 ADDISON ST STE 102, BERKELEY, CA 94702-1749
(510) 883-1126
(510) 883-9926
Mailing address
1250 ADDISON ST STE 102, BERKELEY, CA 94702-1749
(510) 883-1126
(510) 883-9926
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC-27916
CA
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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