Individual
FABIANA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
32382 DEL OBISPO ST STE B4, SAN JUAN CAPISTRANO, CA 92675-4029
(949) 496-9355
Mailing address
32382 DEL OBISPO ST STE B4, SAN JUAN CAPISTRANO, CA 92675-4029
(949) 496-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33813
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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