Organization
DEFOREST CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M DEFOREST M.D. (OWNER)
(951) 925-2400
Entity
Organization
Contact information
Practice address
815 E LATHAM AVE, HEMET, CA 92543-4344
(951) 929-6260
Mailing address
815 E LATHAM AVE, HEMET, CA 92543-4344
(951) 929-6260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
24750
CA
Other
Enumeration date
11/27/2007
Last updated
03/14/2013
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