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DR. RONALD JOHN DELAIRE DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1104889492
Individual Registrant:DR. RONALD JOHN DELAIRE DC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
27620 LANDAU BLVD STE. 1 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-320-4123 Fax: 760-320-0801
Tel: 760-320-4123 Fax: 760-320-0801
Contact information for business:
27620 LANDAU BLVD STE. 1 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-320-4123 Fax: 760-320-0801
Tel: 760-320-4123 Fax: 760-320-0801
Registration Information:
NPI: 1104889492
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | DC21666 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
