DR. Van Sieng Prom, D.C

NPI #1437467461 in Modesto, California

Provider Information

NPI Number: 1437467461
Entity Type: Individual
Name: DR. Van Sieng Prom, D.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C
Enumeration Date: Sep 24, 2010
Last Updated: Sep 24, 2010

Practice Location

Address: 1031 MCHENRY AVE. STE. 22
City: Modesto
State: California
ZIP Code: 95350
Phone: (209) 527-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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