Individual
DR. MOIRA JOANNE BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
111NR0400X
CA
111NX0800X
Orthopedic Chiropractor
Primary
11NX0800X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17023
CA. STATE BOARD CHIROPRACTIC EXAMINERS
CA
Enumeration date
02/19/2007
Last updated
05/03/2010
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