Primo Medical Spa

NPI 1295138758 - Chiropractor - 111N00000X

NPI Details
NPI 1295138758
Enumeration Date 09/29/2014
Last Updated 09/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VINCENT JOSEPH VINCENT
Position OWNER
Phone (310) 621-4951
Fax
Practice Location
230 N MARYLAND AVE STE 206A
GLENDALE CA, 91206-4282, US
Phone (310) 621-4951
Fax
Business Location
230 N MARYLAND AVE STE 206A
GLENDALE CA, 91206-4282, US
Phone (310) 621-4951
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number CA19760
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According to our database, Primo Medical Spa NPI is 1295138758, taxonomy code is 111N00000X and license number is CA19760, license state is located at California. Primo Medical Spa physically located at 230 N Maryland Ave Ste 206a, Glendale CA, 91206-4282. NPI Number 1033115704 has the healthcare provider type.

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1295138758 NPI number is provided on an as is basis without warranty of any kind. 1295138758 is maintained by the National Plan & Provider Enumeration System. The contents of Primo Medical Spa are for informational purposes only.