Organization
NISSEN CHIROPRACTIC A P C
Active
Other names
Mojave Chiropractic center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD LERAY NISSEN D.C. (DOCTOR)
(661) 824-9732
Entity
Organization
Contact information
Practice address
16916 STATE HIGHWAY 14, MOJAVE, CA 93501-1226
(661) 824-9732
(661) 824-1638
Mailing address
16916 STATE HIGHWAY 14, MOJAVE, CA 93501-1226
(661) 824-9732
(661) 824-1638
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC16780
CA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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