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Organization
MOUNT SHASTA CHIROPRACTIC & WELLNESS
Active
Organization
MOUNT SHASTA CHIROPRACTIC & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN SIVANANDA DC (PHYSICIAN/OWNER)
(530) 926-1072
Entity
Organization
Contact information
Practice address
1180 S MOUNT SHASTA BLVD, SUITE C, MOUNT SHASTA, CA 96067-2764
(530) 926-1072
Mailing address
1180 S MOUNT SHASTA BLVD, SUITE C, MOUNT SHASTA, CA 96067-2764
(530) 926-1072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC022167
CA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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