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Organization
REVILLA CHIROPRACTIC A PROFESSIONAL CORPORATION
Active
Organization
REVILLA CHIROPRACTIC A PROFESSIONAL CORPORATION
Active
Other names
Comprehensive Health and Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL STEVEN REVILLA D.C. (PRESIDENT)
(760) 736-0286
Entity
Organization
Contact information
Practice address
555 S RANCHO SANTA FE RD, SUITE 200, SAN MARCOS, CA 92078-3698
(760) 736-0286
(760) 736-3113
Mailing address
555 S RANCHO SANTA FE RD, SUITE 200, SAN MARCOS, CA 92078-3698
(760) 736-0286
(760) 736-3113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 20363
CA
Other
Enumeration date
01/10/2007
Last updated
06/10/2020
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