Organization
CANDICE MCCOWIN, INC.
Active
Other names
Great Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDICE ALAINE MCCOWIN D.C. (OWNER)
(714) 751-5050
Entity
Organization
Contact information
Practice address
2960 HARBOR BLVD, A & B, COSTA MESA, CA 92626-3950
(714) 751-5050
(714) 751-1053
Mailing address
2960 HARBOR BLVD, A & B, COSTA MESA, CA 92626-3950
(714) 751-5050
(714) 751-1053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC22408
CA
Other
Enumeration date
02/21/2007
Last updated
03/26/2008
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