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Organization

DR. VIRGINIA HERNLY

Active
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Organization

DR. VIRGINIA HERNLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIRGINIA L HERNLY D.C. (OWNER/CHIROPRACTIC)
(650) 347-4443
Entity
Organization

Contact information

Practice address
205 E 3RD AVE STE 406, SAN MATEO, CA 94401-4050
(650) 347-4443
(650) 347-5783
Mailing address
205 E 3RD AVE STE 406, SAN MATEO, CA 94401-4050
(650) 347-4443
(650) 347-5783

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC15946
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467471151
TYPE I NPI
CA
Enumeration date
07/19/2012
Last updated
07/19/2012
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