Organization
100 CHIROPRACTIC SIETSEMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA SIETSEMA DC (DOCTOR/OWNER)
(612) 889-9722
Entity
Organization
Contact information
Practice address
272 N EL CAMINO REAL STE C, ENCINITAS, CA 92024-2857
(760) 230-2145
Mailing address
272 N EL CAMINO REAL STE C, ENCINITAS, CA 92024-2857
(760) 230-2145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528499050
—
CA
Enumeration date
11/20/2020
Last updated
12/05/2020
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