Individual provider · Type 1 NPI

Van Sieng Prom, D.C

Chiropractor · Modesto, CA

NPI number 1437467461 Active

Practice location

1031 Mchenry Ave. Ste. 22
Modesto, CA 95350

Call (209) 527-7766 Map

Fax (209) 529-7766

Mailing address

1031 Mchenry Ave Ste 22
Modesto, CA 95350-5434

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X21786 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1437467461

Van Sieng Prom, D.C's National Provider Identifier is 1437467461, issued on Sep 24, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Modesto, CA. The record was last updated on Sep 24, 2010.