Individual
DR. ERIC MARCEL CUSTODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4620 PINE ST, RIVERSIDE, CA 92501-4007
(951) 782-8700
(951) 782-9988
Mailing address
5774 NORTHVIEW PL, RIVERSIDE, CA 92506-1052
(951) 781-6461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29492
CA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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