Organization
CURETECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WAGONER (OWNER)
(310) 734-2040
Entity
Organization
Contact information
Practice address
401 E SYCAMORE AVE, EL SEGUNDO, CA 90245-2435
(310) 734-2040
Mailing address
401 E SYCAMORE AVE, EL SEGUNDO, CA 90245-2435
(310) 734-2040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8098
AZ
111N00000X
Chiropractor
Primary
DC 28876
CA
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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