Individual
FERNANDO G LABRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1058 KENDALL DR, SAN BERNARDINO, CA 92407-4123
(909) 881-7429
Mailing address
1058 KENDALL DR, SAN BERNARDINO, CA 92407-4123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
22746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC0227460
—
CA
Enumeration date
10/25/2006
Last updated
07/08/2007
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