Ishan Balthazar Vest DC

NPI 1013004571 - Chiropractor - 111N00000X

NPI Details
NPI 1013004571
Gender Male
Enumeration Date 10/06/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
550 WASHINGTON ST
# 101
DALY CITY CA, 94015-1908, US
Phone (650) 994-4455
Fax (650) 994-7534
Business Location
550 WASHINGTON ST
# 101
DALY CITY CA, 94015-1908, US
Phone (650) 994-4455
Fax (650) 994-7534
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 18679
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According to our database, Ishan Balthazar Vest DC NPI is 1013004571, taxonomy code is 111N00000X and license number is 18679, license state is located at California. Ishan Balthazar Vest DC physically located at 550 Washington St, Daly City CA, 94015-1908. NPI Number Ishan Balthazar Vest DC has the Individual type.

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1013004571 NPI number is provided on an as is basis without warranty of any kind. 1013004571 is maintained by the National Plan & Provider Enumeration System. The contents of Ishan Balthazar Vest DC are for informational purposes only.