Provider Demographics
NPI:1457514523
Name:DELISSER, HELEN JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:JEAN
Last Name:DELISSER
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 1:3269 BRIGGS AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4802
Mailing Address - Country:US
Mailing Address - Phone:510-205-4697
Mailing Address - Fax:
Practice Address - Street 1:512 WESTLINE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-7649
Practice Address - Country:US
Practice Address - Phone:510-205-4697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor