Individual
ETHAN HENNEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1166 ESPLANADE STE 2, CHICO, CA 95926-3361
(530) 809-2695
Mailing address
1166 ESPLANADE STE 2, CHICO, CA 95926-3361
(530) 809-2695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC36307
CA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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