Individual
DR. ACE S THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CSCS
Contact information
Practice address
129 W WILSON ST, SUITE 104, COSTA MESA, CA 92627-1586
(949) 548-7767
(949) 548-5692
Mailing address
129 W WILSON ST, SUITE 104, COSTA MESA, CA 92627-1586
(949) 548-7767
(949) 548-5692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
24008
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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