| |
177 Butcher Rd Ste A, Vacaville, CA 95687-5656 | |
(707) 451-7426 | |
(707) 451-2165 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 177 Butcher Rd Ste A, Vacaville, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265587422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1460 150th Ave, San Leandro, CA 94578-1821 Ph: (510) 276-4845 | 177 Butcher Rd Ste A, Vacaville, CA 95687-5656 Ph: (707) 451-7426 |