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Individual

ANA G CANELO SERRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
30 FENWAY STE 1, BOSTON, MA 02215-4016
(857) 990-3721
(857) 336-6878
Mailing address
30 FENWAY STE 1, BOSTON, MA 02215-4016
(857) 990-3721
(857) 336-6878

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI3837
MA
111NR0400X
Rehabilitation Chiropractor
13550
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CHI3837
MASSACHUSETTS CHIROPRACTIC LICENSE
MA
Enumeration date
07/19/2017
Last updated
11/06/2024
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