Individual
DR. PATRICIA ANGELICA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002017116
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5009000009, MA473300
MEDICARE PTAN
MO
Enumeration date
06/04/2010
Last updated
08/14/2014
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