Ryan Maynard, DC Valid NPI
Individual provider · Chiropractor · Alpine, CA
- NPI
- 1003190687
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 31432 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-09-30
- Last updated
- 2011-09-30
Practice location
1937 Lilac Ln
Alpine, CA 91901-2930
(619) 990-0880