Provider Demographics
NPI:1710213335
Name:SNYDER, MARIZA DEBORAH (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIZA
Middle Name:DEBORAH
Last Name:SNYDER
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 1:4179 PIEDMONT AVE
Mailing Address - Street 2:#210
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5186
Mailing Address - Country:US
Mailing Address - Phone:510-658-8740
Mailing Address - Fax:510-658-8762
Practice Address - Street 1:4179 PIEDMONT AVE
Practice Address - Street 2:#210
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5186
Practice Address - Country:US
Practice Address - Phone:510-658-8740
Practice Address - Fax:510-658-8762
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31189111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor