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Organization
TETZLAFF CHIROPRACTIC, INC.
Active
Organization
TETZLAFF CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PATRICK TETZLAFF D.C. (OWNER)
(209) 538-0647
Entity
Organization
Contact information
Practice address
2450 E WHITMORE AVE, CERES, CA 95307-2637
(209) 538-0647
(209) 538-8737
Mailing address
2450 E WHITMORE AVE, CERES, CA 95307-2637
(209) 538-0647
(209) 538-8737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
189770
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189770
CHIROPRACTIC LICENSE
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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