Organization
FAIRLEY CHIROPRACTIC INC.
Active
Other names
The Source Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN FAIRLEY DC (CHIROPRACTOR)
(510) 328-1381
Entity
Organization
Contact information
Practice address
3825 MACARTHUR BLVD, OAKLAND, CA 94619-1361
(510) 328-1381
(844) 273-4643
Mailing address
3825 MACARTHUR BLVD, OAKLAND, CA 94619-1361
(510) 328-1381
(844) 273-4643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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