Blue Water Coastal, Llc

NPI 1063764686 - Chiropractor - 111N00000X

NPI Details
NPI 1063764686
Enumeration Date 10/05/2012
Last Updated 10/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SARAH C SARAH
Position OWNER/CHIROPRACTOR
Phone (760) 729-3200
Fax (760) 729-3201
Practice Location
785 GRAND AVE
#100
CARLSBAD CA, 92008-2370, US
Phone (760) 729-3200
Fax (760) 729-3201
Business Location
PO BOX 1176
CARDIFF CA, 92007-7176, US
Phone (858) 509-7999
Fax (858) 509-3993
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC29910
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According to our database, Blue Water Coastal, Llc NPI is 1063764686, taxonomy code is 111N00000X and license number is DC29910, license state is located at California. Blue Water Coastal, Llc physically located at 785 Grand Ave, Carlsbad CA, 92008-2370. NPI Number 1033115704 has the healthcare provider type.

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1063764686 NPI number is provided on an as is basis without warranty of any kind. 1063764686 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Water Coastal, Llc are for informational purposes only.