Organization
BAUTISTA CHIROPRACTIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNA J BROUQUA (OFFICE MANAGER)
(650) 225-0500
Entity
Organization
Contact information
Practice address
931 SAN BRUNO AVE W RM 7, SAN BRUNO, CA 94066-3435
(650) 225-0500
(650) 225-0510
Mailing address
931 SAN BRUNO AVE W RM 7, SAN BRUNO, CA 94066-3435
(650) 225-0500
(650) 225-0510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28034
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2010
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