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Individual

DR. BRYAN WADE IGNACIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5673 W LAS POSITAS BLVD, SUITE 215, PLEASANTON, CA 94588-8558
(925) 225-0500
(925) 225-0505
Mailing address
5673 W LAS POSITAS BLVD, SUITE 215, PLEASANTON, CA 94588-8558
(925) 225-0500
(925) 225-0505

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32192
CA

Other

Enumeration date
02/16/2012
Last updated
10/15/2013
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