Individual
DR. MARILYN IDA CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1407 S B ST, STE #3, SAN MATEO, CA 94402-2433
(650) 342-3452
(650) 342-4087
Mailing address
1407 S B ST, STE #3, SAN MATEO, CA 94402-2433
(650) 342-3452
(650) 342-4087
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
15160
CA
Other
Enumeration date
07/20/2006
Last updated
12/30/2016
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