Organization
RYAN J MAYEDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MAYEDA DC RD (OWNER)
(970) 673-7879
Entity
Organization
Contact information
Practice address
4625 W 20TH ST UNIT 109, GREELEY, CO 80634-3208
(970) 673-7879
Mailing address
4625 W 20TH ST UNIT 109, GREELEY, CO 80634-3208
(970) 673-7879
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5906
CO
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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