Organization
DETERS CHIROPRACTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LEROY DETERS III D.C. (PRESIDENT)
(619) 681-1919
Entity
Organization
Contact information
Practice address
2535 CAMINO DEL RIO S, SUITE 225, SAN DIEGO, CA 92108-3754
(619) 681-1919
(619) 681-1922
Mailing address
2535 CAMINO DEL RIO S, SUITE 225, SAN DIEGO, CA 92108-3754
(619) 681-1919
(619) 681-1922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20569
CA
Other
Enumeration date
04/19/2007
Last updated
12/13/2007
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