Individual
DR. JEAN DEREK POTVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24470 DEL PRADO, DANA POINT, CA 92629-2739
(949) 488-0348
Mailing address
24470 DEL PRADO, DANA POINT, CA 92629-2739
(949) 488-0348
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC-27513
CA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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