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Organization
911 BIOCARE LLC
Active
Organization
911 BIOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE WOMACK (OWNER)
(855) 901-0911
Entity
Organization
Contact information
Practice address
330 ALABAMA STREET, SUITE D, REDLANDS, CA 92373
(855) 901-0911
(909) 335-4886
Mailing address
330 ALABAMA STREET, SUITE D, REDLANDS, CA 92373
(855) 901-0911
(909) 335-4886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
11/16/2017
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