Individual
EDDY MYDOUANGCHANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 S EREMLAND DR, COVINA, CA 91723-3100
(626) 332-7829
(626) 332-7829
Mailing address
550 S EREMLAND DR, COVINA, CA 91723-3100
(626) 332-7829
(626) 332-7829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34895
CA
111N00000X
Chiropractor
5542
OR
Other
Enumeration date
01/18/2014
Last updated
04/26/2023
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