Individual
CHARISSA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
17330 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395
(760) 245-8182
(760) 245-2123
Mailing address
17330 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395
(760) 245-8182
(760) 245-2123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC36310
CA
Other
Enumeration date
09/04/2018
Last updated
10/18/2022
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