| NPI | 1760678262 |
|---|---|
| Former Legal Business Name | COMMUNITY CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK WEAVER BURDETTE Owner 858-486-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27393) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2008-07-30 |