Individual
ANDREA KATHLEEN ORMONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
181 TANK FARM RD STE 120, SAN LUIS OBISPO, CA 93401-7082
(805) 316-1704
Mailing address
19241 S FRUIT AVE, RIVERDALE, CA 93656-9473
(559) 349-4404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33806
CA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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