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Individual

DR. DANNY BASIL BACHOUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3691 VIA MERCADO, UNIT 15, LA MESA, CA 91941-8301
(619) 444-3191
(619) 444-3193
Mailing address
3691 VIA MERCADO, UNIT 15, LA MESA, CA 91941-8301
(619) 444-3191
(619) 444-3193

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31479
CA

Other

Enumeration date
12/28/2009
Last updated
04/14/2010
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