Provider Demographics
NPI:1467711002
Name:HARRINGTON, MARYANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARYANNE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20301 BLUFFSIDE CIR
Mailing Address - Street 2:APT 316
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-8521
Mailing Address - Country:US
Mailing Address - Phone:605-299-6058
Mailing Address - Fax:
Practice Address - Street 1:5687 WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-1129
Practice Address - Country:US
Practice Address - Phone:562-866-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor