Provider First Line Business Practice Location Address:
74-967 HWY 111
Provider Second Line Business Practice Location Address:
INDIAN WELLS CHIROPRACTIC CLINIC
Provider Business Practice Location Address City Name:
INDIAN WELLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-346-5255
Provider Business Practice Location Address Fax Number:
760-346-5028
Provider Enumeration Date:
06/11/2007