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Organization

BRADY FORTES CHIROPRACTIC CORPORATION

Active
Other names
Cafe of Life Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA C BRADY D.C. (OWNER)
(916) 985-9686
Entity
Organization

Contact information

Practice address
608 SUTTER ST, SUITE 100, FOLSOM, CA 95630-2545
(916) 985-9686
(916) 985-9687
Mailing address
608 SUTTER ST, SUITE 100, FOLSOM, CA 95630-2545
(916) 985-9686
(916) 985-9687

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27087
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043353071
NPI, DR. MARIA BRADY, DC
CA
01
1164612560
NPI DR. DUANE GILBERT, DC
CA
01
1679771760
NPI DR. JAMIE LENZ, DC
CA
01
1720299472
DR. DAN BRADY, DC
CA
Enumeration date
04/26/2007
Last updated
08/31/2007
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