Kyle Taketa, DC | |
190 W 25th Ave, #4, San Mateo, CA 94403-2298 | |
(650) 349-2222 | |
Not Available |
Full Name | Kyle Taketa |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 190 W 25th Ave, San Mateo, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205180619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC30996 (California) | Primary |
Mailing Address | Practice Location Address |
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Kyle Taketa, DC 190 West 25th Aveune #4, San Mateo, CA 94403 Ph: (650) 349-2222 | Kyle Taketa, DC 190 W 25th Ave, #4, San Mateo, CA 94403-2298 Ph: (650) 349-2222 |
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