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DR. RICHARD T MINER D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1174658298
Individual Registrant:DR. RICHARD T MINER D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
38690 PACIFIC DR. SUITE 3 GUALALA, CA 95445 US
Tel: 707-884-1714 Fax: --
Tel: 707-884-1714 Fax: --
Contact information for business:
PO BOX 409 38690 PACIFIC DR. GUALALA, CA 95445-0409 US
Tel: 707-884-1714 Fax: --
Tel: 707-884-1714 Fax: --
Registration Information:
NPI: 1174658298
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | DC16750 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
