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Individual

JASON DAVID VANDERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2555 TOWNSGATE RD, STE. 125, WESTLAKE VILLAGE, CA 91361-2697
(866) 301-6568
Mailing address
6529 CORTE VALDEZ, CARLSBAD, CA 92009-4556
(760) 450-4346

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC 25528
CA

Other

Enumeration date
10/04/2007
Last updated
01/07/2014
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