| NPI | 1043797608 |
|---|---|
| Doing Business As | MIRA MESA CHIROPRACTIC |
| Former Legal Business Name | 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 |