Organization
RE:HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D FRACH PHD (BILLING DIRECTOR)
(408) 984-2455
Entity
Organization
Contact information
Practice address
550 WASHINGTON ST, STE 101, DALY CITY, CA 94015-1908
(650) 757-5557
(408) 984-2456
Mailing address
3234 MCKINLEY DR, SANTA CLARA, CA 95051-6765
(408) 984-2455
(408) 984-2456
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC18679
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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