Organization
BLUMHARDT FAMILY CHIROPRACTIC, PC
Active
Other names
Fountain of Life ChiroStudio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON BLUMHARDT DC (PRESIDENT/CHIROPRACTOR)
(714) 665-9355
Entity
Organization
Contact information
Practice address
14081 YORBA ST, SUITE 106, TUSTIN, CA 92780-2010
(714) 665-9355
(866) 265-6179
Mailing address
14081 YORBA ST, SUITE 106, TUSTIN, CA 92780-2010
(714) 665-9355
(866) 265-6179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30606
CA
Other
Enumeration date
09/12/2007
Last updated
09/30/2008
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