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Organization
FORM FUNCTION INC
Active
Organization
FORM FUNCTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GARCIA D.C. (OWNER/CHIROPRACTOR)
(310) 528-6276
Entity
Organization
Contact information
Practice address
1966 HACIENDA DR, VISTA, CA 92081-6025
(310) 528-6276
Mailing address
PO BOX 1176, CARDIFF, CA 92007-7176
(858) 509-7999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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