Individual
BRUCE ALLEN HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1399 W. COLTON AVE., SUITE #9, REDLANDS, CA 92374-4536
(909) 793-9787
(909) 793-9891
Mailing address
1399 W. COLTON AVE., SUITE #9, REDLANDS, CA 92374-4536
(909) 793-9787
(909) 793-9891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20633
CA
Other
Enumeration date
08/17/2005
Last updated
07/08/2010
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