Individual
FELISA KIMI PAGARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4217 VALLEY AVE, MARTINEZ, CA 94553-1441
(650) 619-0067
Mailing address
4217 VALLEY AVE, MARTINEZ, CA 94553-1441
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1607
CA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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