NPI | 1043797608 |
---|---|
Doing Business As | MIRA MESA CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER VISICO President 858-453-0366 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34262) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-07-25 |