Provider Demographics
NPI:1689775330
Name:PULEO, JOANNE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:MARIE
Last Name:PULEO
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 1:350 MARINA DR APT 52
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-6067
Mailing Address - Country:US
Mailing Address - Phone:562-619-1020
Mailing Address - Fax:
Practice Address - Street 1:350 MARINA DR APT 52
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-6067
Practice Address - Country:US
Practice Address - Phone:562-619-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 26582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor