| Elena Vince D C A Chiropractic Corp | |
|
361 3rd St Ste D, San Rafael, CA 94901-3580 | |
| (415) 454-3717 | |
| Not Available |
| Full Name | Elena Vince D C A Chiropractic Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 361 3rd St Ste D, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679836886 | NPI | - | NPPES |
| DC0189410 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 18941 (California) | Primary |
| Provider Name | Rosa Vince |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114084852 PECOS PAC ID: 2062677826 Enrollment ID: I20120628000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Vince D C A Chiropractic Corp 361 3rd St Ste D, San Rafael, CA 94901-3580 Ph: (415) 454-3717 | Elena Vince D C A Chiropractic Corp 361 3rd St Ste D, San Rafael, CA 94901-3580 Ph: (415) 454-3717 |
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