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Dr. Desirae Marie Azua, DC
Chiropractor in Lodi, California
NPI 1861177016

Desirae Marie Azua is a Chiropractor based in Lodi, CA. Desirae Marie Azua practices in Lodi, CA and has the professional credentials of DC. The NPI Number for Desirae Marie Azua is 1861177016 and holds a License No. 36679 (California).

The current practice location address for Desirae Marie Azua is 2000 W Kettleman Ln Ste 104, Lodi, CA and can be reached out via phone at 209-334-6947 and via fax at 209-334-6969.

Location: 2000 W Kettleman Ln Ste 104, Lodi, CA, 95242-4334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861177016
Provider Name
Desirae Marie Azua
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2000 W Kettleman Ln Ste 104, Lodi, CA, 95242-4334
Phone Number
209-334-6947
Fax Number
209-334-6969
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 W Kettleman Ln Ste 104
City
Lodi
State
California
Zip
95242-4334
Phone Number
209-334-6947
Fax Number
209-334-6969
person
Provider Business Mailing Address Details
Address
2000 W Kettleman Ln Ste 104
City
Lodi
State
California
Zip
95242-4334
Phone Number
209-334-6947
Fax Number
209-334-6969
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
36679 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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