Janelle Provost, DC
Chiropractor in San Jose, CA. Individual provider (NPI-1).
NPI number1124606140
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1124606140
- Entity type
- Individual (NPI-1)
- Name
- Janelle Provost
- Credential
- DC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2021
- Certification date
- Oct 26, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 35035 | CA | Yes |
Other names
- Janelle Slugoski (Former Name)
Practice location
1101 S Winchester Blvd Ste M257San Jose, CA 95128-3904
Phone 408-502-6358
Mailing address
151 Marianna WayCampbell, CA 95008-1801
Phone 669-770-5904
Other practice locations
3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063
Santa Clara, CA 95054-2063
Phone 408-359-3459
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