Organization
100 CHIROPRACTIC GRANT LN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GRANT (OWNER)
(858) 524-1091
Entity
Organization
Contact information
Practice address
30301 GOLDEN LANTERN STE C, LAGUNA NIGUEL, CA 92677-5990
(949) 994-9905
Mailing address
20551 N PIMA RD STE 100, SCOTTSDALE, AZ 85255-9154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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