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Organization
WEAVER CHIROPRACTIC INC
Active
Organization
WEAVER CHIROPRACTIC INC
Active
Other names
Enterprise Back Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LYNN MENEZ (OFFICE MANAGER)
(530) 223-0583
Entity
Organization
Contact information
Practice address
3051 VICTOR AVENUE, REDDING, CA 96002
(530) 223-0583
(530) 223-6316
Mailing address
3051 VICTOR AVENUE, REDDING, CA 96002
(530) 223-0583
(530) 223-6316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC10695
—
111N00000X
Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10973137
CAQH
—
01
—
411541944369
ACN
—
Enumeration date
12/03/2007
Last updated
12/03/2007
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