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Individual

DR. ARIEL F PROVASOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2900 TELEGRAPH AVE, BERKELEY, CA 94705-2018
(360) 402-4550
Mailing address
231 29TH ST, APT 23, OAKLAND, CA 94611-5943
(360) 402-4550

Taxonomy

Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
DC32734
CA

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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