Individual
DR. JOHN RICHARD ENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13420 NEWPORT AVE, STE.K, TUSTIN, CA 92780-3745
(714) 669-3105
(714) 669-3108
Mailing address
13420 NEWPORT AVE, STE.K, TUSTIN, CA 92780-3745
(714) 669-3105
(714) 669-3108
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC 25433
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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