Individual
DEBORAH WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
960 CENTRE ST, JAMAICA PLAIN, MA 02130-3045
(617) 413-8362
Mailing address
PO BOX 320258, WEST ROXBURY, MA 02132-0003
(617) 413-8362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA1405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610759
—
MA
Enumeration date
08/29/2005
Last updated
10/25/2010
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