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Organization
RUSSELL CHIROPRACTIC & ACUPUNCTURE, INC
Active
Organization
RUSSELL CHIROPRACTIC & ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL RUSSELL DC (PRESIDENT/ CHIROPRACTOR)
(858) 573-1505
Entity
Organization
Contact information
Practice address
10793 TIERRASANTA BLVD STE A, SAN DIEGO, CA 92124-2629
(858) 573-1505
Mailing address
10793 TIERRASANTA BLVD STE A, SAN DIEGO, CA 92124-2629
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29891
CA
171100000X
Acupuncturist
AC11156
CA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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