| |
9384 Deschutes Rd, Ste E, Palo Cedro, CA 96073-8754 | |
(530) 547-3787 | |
(530) 547-4979 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 9384 Deschutes Rd, Palo Cedro, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295006518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC22243 (California) | Primary |
Mailing Address | Practice Location Address |
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9384 Deschutes Rd, Ste E, Palo Cedro, CA 96073-8754 Ph: (530) 547-3787 | 9384 Deschutes Rd, Ste E, Palo Cedro, CA 96073-8754 Ph: (530) 547-3787 |