Individual
CHARLENE GAILE PODEROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
94-1171 POLINAHE PL, WAIPAHU, HI 96797
(650) 524-5644
Mailing address
94-1171 POLINAHE PL, WAIPAHU, HI 96797-4035
(650) 524-5644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33905
CA
111N00000X
Chiropractor
Primary
DC-1394
HI
Other
Enumeration date
07/27/2017
Last updated
05/31/2018
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