Organization
DR. CARLA RUDOLPH CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA DENYCE RUDOLPH D.C. (PRESIDENT/OWNER)
(650) 591-3323
Entity
Organization
Contact information
Practice address
1785 SAN CARLOS AVE, SUITE 2C, SAN CARLOS, CA 94070-2055
(650) 591-3323
(650) 591-3564
Mailing address
1785 SAN CARLOS AVE, SUITE 2C, SAN CARLOS, CA 94070-2055
(650) 591-3323
(650) 591-3564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16843
CA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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