Evolve Performance & Wellness A Diaz Chiropractic Professional Cor | |
3720 Grass Valley Hwy Ste B, Auburn, CA 95602-2002 | |
(530) 488-0188 | |
Not Available |
Full Name | Evolve Performance & Wellness A Diaz Chiropractic Professional Cor |
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Type | Facility |
Speciality | Chiropractor |
Location | 3720 Grass Valley Hwy Ste B, Auburn, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366138893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Danielle E Diaz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215583398 PECOS PAC ID: 2860800752 Enrollment ID: I20210413002948 |
Mailing Address | Practice Location Address |
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Evolve Performance & Wellness A Diaz Chiropractic Professional Cor Po Box 4558, Auburn, CA 95604-4558 Ph: (530) 488-0188 | Evolve Performance & Wellness A Diaz Chiropractic Professional Cor 3720 Grass Valley Hwy Ste B, Auburn, CA 95602-2002 Ph: (530) 488-0188 |
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