Individual
DR. CHARLES MARK HOOGENDOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
440 E CENTER ST, MANTECA, CA 95336-4728
(209) 239-1355
(209) 239-7091
Mailing address
440 E CENTER ST, MANTECA, CA 95336-4728
(209) 239-1355
(209) 239-7091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0171940
CA
Other
Enumeration date
11/04/2005
Last updated
10/25/2010
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