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3706 Atheron Rd, Ste 110, Rocklin, CA 95765-8255 | |
| (916) 805-7996 | |
| (916) 259-1516 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3706 Atheron Rd, Rocklin, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205618733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Mark Jason Espiritu Bernardo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144002676 PECOS PAC ID: 8527591288 Enrollment ID: I20241101003226 |
| Mailing Address | Practice Location Address |
|---|---|
3706 Atherton Rd Ste 110, Rocklin, CA 95765-3810 Ph: (916) 805-7996 | 3706 Atheron Rd, Ste 110, Rocklin, CA 95765-8255 Ph: (916) 805-7996 |
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