Mark Henry Street, DC

NPI #1861487043 in Healdsburg, California

Provider Information

NPI Number: 1861487043
Entity Type: Individual
Name: Mark Henry Street, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 14, 2005
Last Updated: Oct 27, 2011

Practice Location

Address: 1381 UNIVERSITY ST
City: Healdsburg
State: California
ZIP Code: 95448-3314
Phone: (707) 431-8234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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