Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY ELLEN WIESENFARTH SIMONE
Active Sole ProprietorMRS. MARY ELLEN WIESENFARTH SIMONE is a Independent Medical Examiner (Chiropractor) healthcare provider located in COVINA, California. NPI 1144597006 is currently active in the NPPES registry. Verify at CMS.
Independent Medical Examiner (Chiropractor) · COVINA, CA
Registration Details
- NPI Number
- 1144597006
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2011 (14.769742799653 yrs)
- Last Updated
- Nov 21, 2019
- Licenses
-
DC22891 (CA)DC22891 (CA)DC22891 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 W SAN BERNARDINO RDCOVINA, CA, 917231516Browse CA providers · Browse ZIP 91723
- Phone
- 6269673553
- Fax
- 6269671523
- Primary Specialty
-
Independent Medical Examiner (Chiropractor)
111NI0013X
- Additional Specialty
- Occupational Health (Chiropractor)
- Additional Specialty
- Independent Medical Examiner (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.