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Organization
LISA DE LA TORRES MAIN STREET CHIROPRACTIC INC
Active
Organization
LISA DE LA TORRES MAIN STREET CHIROPRACTIC INC
Active
Other names
Main Street Chiropractic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DE LA TORRE D.C. (OWNER/PRESIDENT)
(408) 395-4333
Entity
Organization
Contact information
Practice address
291 E MAIN ST, B1, LOS GATOS, CA 95030-6137
(408) 395-4333
(408) 395-7692
Mailing address
291 E MAIN ST, B1, LOS GATOS, CA 95030-6137
(408) 395-4333
(408) 395-7692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24969
CA
Other
Enumeration date
10/24/2005
Last updated
10/20/2010
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