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Organization
JENNIFER M WELLS CHIROPRACTIC CORPORATION
Active
Organization
JENNIFER M WELLS CHIROPRACTIC CORPORATION
Active
Other names
Back Country Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M WELLS D.C. (OWNER)
(951) 427-1820
Entity
Organization
Contact information
Practice address
911 6TH ST, NORCO, CA 92860-1442
(909) 427-1820
(951) 427-1822
Mailing address
911 6TH ST, NORCO, CA 92860-1442
(909) 427-1820
(951) 427-1822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
24028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC24028
MEDICARE ID- TYPE UNSPECIFIED
CA
Enumeration date
05/23/2011
Last updated
05/23/2011
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