Individual
DR. MANUEL ALBERTO IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
140A BRIDGES RD, LIVE WELL CHIROPRACTIC, MAULDIN, SC 29662
(864) 627-4325
(864) 627-7733
Mailing address
140A BRIDGES RD, LIVE WELL CHIROPRACTIC, MAULDIN, SC 29662
(864) 627-4325
(864) 627-7733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1282
—
SC
Enumeration date
07/12/2006
Last updated
05/05/2008
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