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NPI Code Detail

MEDICARE: DR. SANDRA ANNE IOELE CHIROPRACTOR

MEDICARE: DR. SANDRA ANNE IOELE CHIROPRACTOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC25065CA

General Provider Information

NPI Number : 1336237361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA ANNE IOELE CHIROPRACTOR
Provider Business Mailing Address
First Line : 2646 MISSION ST
Second Line :
City : SAN MARINO
State : CA
Zip : 91108-1638
Country : US
Telephone Number : 626-441-2264
Fax Number : 626-441-3533
Provider Business Practice Location Address
First Line : 2646 MISSION ST
Second Line :
City : SAN MARINO
State : CA
Zip : 91108-1638
Country : US
Telephone Number : 626-441-2264
Fax Number : 626-441-3533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SANDRA ANNE IOELE CHIROPRACTOR” Practice Location

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