Henry J Domeniconi D.C., Q.M.E.

NPI 1053454603 - Chiropractor - 111N00000X

NPI Details
NPI 1053454603
Gender Male
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 HAZELWOOD DR
SOUTH SAN FRANCISCO CA, 94080-5720, US
Phone (650) 588-4000
Fax (650) 588-4179
Business Location
100 HAZELWOOD DR
SOUTH SAN FRANCISCO CA, 94080-5720, US
Phone (650) 588-4000
Fax (650) 588-4179
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 17359
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According to our database, Dr. Henry J Domeniconi D.C., Q.M.E. NPI is 1053454603, taxonomy code is 111N00000X and license number is 17359, license state is located at California. Henry J Domeniconi D.C., Q.M.E. physically located at 100 Hazelwood Dr, South San Francisco CA, 94080-5720. NPI Number Henry J Domeniconi D.C., Q.M.E. has the Individual type.

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1053454603 NPI number is provided on an as is basis without warranty of any kind. 1053454603 is maintained by the National Plan & Provider Enumeration System. The contents of Henry J Domeniconi D.C., Q.M.E. are for informational purposes only.