Individual provider · Type 1 NPI

Desirae Marie Azua, DC

Chiropractor · Lodi, CA

NPI number 1861177016 Active

Practice location

2000 W Kettleman Ln Ste 104
Lodi, CA 95242-4334

Call (209) 334-6947 Map

Fax (209) 334-6969

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X36679 (CA)

Chiropractor: 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.

2 other providers at this address

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About NPI 1861177016

Desirae Marie Azua, DC's National Provider Identifier is 1861177016, issued on Jun 15, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lodi, CA. The record was last updated on Jun 15, 2023.