Healthcare Provider Details

I. General information

NPI: 1306930656
Provider Name (Legal Business Name): JULI ANNETT SNYDER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OCONNOR DR #25
SAN JOSE CA
95128-1638
US

IV. Provider business mailing address

73-1292 ILAU ST
KAILUA KONA HI
96740-9335
US

V. Phone/Fax

Practice location:
  • Phone: 408-271-2800
  • Fax: 408-271-2827
Mailing address:
  • Phone: 408-605-2305
  • Fax: 408-271-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC018202
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: