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DR. MANUEL MANALAD DIZON D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1255451969

Individual Registrant:
DR. MANUEL MANALAD DIZON D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1500 SYCAMORE AVE B14 HERCULES, CA 94547-1775 US
Tel: 510-799-3760  Fax: 510-799-3744

Contact information for business:
1500 SYCAMORE AVE B14 HERCULES, CA 94547-1775 US
Tel: 510-799-3760  Fax: 510-799-3744

Registration Information:
NPI: 1255451969
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC26709

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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