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Individual

DR. HELEN N. SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
855 SARATOGA AVE, SAN JOSE, CA 95129-2331
(408) 253-3396
Mailing address
855 SARATOGA AVE, SAN JOSE, CA 95129-2331
(408) 253-3396

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC20787
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
770335473
TAX ID #
CA
01
DC20787
CHIROPRACTIC LICENSE #
CA
Enumeration date
12/12/2006
Last updated
04/13/2009
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