Chiroasis A Connolly Chiropractic Corporation
Chiropractor in Marina Del Rey, CA. Organization (NPI-2).
NPI number1104064849
StatusActive
Last updated in NPPESMay 17, 2010
Details
- NPI
- 1104064849
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiroasis A Connolly Chiropractic Corporation
- Organization subpart
- No
- Enumeration date
- Feb 3, 2009
- Last updated
- May 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | CA | Yes |
Practice location
4560 Admiralty WaySuite 252
Marina Del Rey, CA 90292-5423
Phone 310-306-4828
Mailing address
4560 Admiralty Way252
Marina Del Rey, CA 90292
Authorized official
Jacqueline Connolly
President
3103064828
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