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Organization
SUMMIT TO SHORE CHIROPRACTIC
Active
Organization
SUMMIT TO SHORE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIN THOMAS HAWORTH D.C., M.S. (CHIROPRACTOR)
(509) 331-3698
Entity
Organization
Contact information
Practice address
2877 LAKE TAHOE BLVD STE B, SOUTH LAKE TAHOE, CA 96150-7807
(530) 544-8495
Mailing address
2877 LAKE TAHOE BLVD STE B, SOUTH LAKE TAHOE, CA 96150-7807
(530) 544-8495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33416
CA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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