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Individual

DR. VIRGINIA L HERNLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, CCSP

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
15946
CA

Other

Enumeration date
07/19/2006
Last updated
07/10/2012
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