Individual
DR. ILYA MISCHA SKOLNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
710 C ST, SUITE 9, SAN RAFAEL, CA 94901-3857
(415) 459-4313
(419) 715-9257
Mailing address
710 C ST, SUITE 9, SAN RAFAEL, CA 94901-3857
(415) 459-4313
(419) 715-9257
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC30524
CA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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