Individual
FRANCES MAXWELL HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7575 SOQUEL DRIVE, APTOS, CA 95003
(831) 688-5156
(831) 661-0228
Mailing address
633 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-4800
(757) 233-4790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66306Z
BLUE SHIELD
—
Enumeration date
11/13/2006
Last updated
03/14/2019
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