NPI | 1568498970 |
---|---|
Doing Business As | ADVANCED WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MARK DE DUBOVAY President 562-795-6680 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC17394) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC16862) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2018-08-27 |