Individual
DR. ERIC RICHARD WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1530 JAMACHA RD, SUITE B1, EL CAJON, CA 92019-3700
(619) 444-3477
Mailing address
3545 VALLEY RD, UNIT 4, BONITA, CA 91902-4163
(619) 564-4347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-30241
CA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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