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NPI Code Detail

MEDICARE: DR. JILL ELLEN ANNA MAUSER DC

MEDICARE: DR. JILL ELLEN ANNA MAUSER DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC17617CA

General Provider Information

NPI Number : 1033274311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL ELLEN ANNA MAUSER DC
Provider Business Mailing Address
First Line : 1146 SAN MARINO DR
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-4649
Country : US
Telephone Number : 760-471-2033
Fax Number : 760-471-2083
Provider Business Practice Location Address
First Line : 1146 SAN MARINO DR
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-4649
Country : US
Telephone Number : 760-471-2033
Fax Number : 760-471-2083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 10/09/2007

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Directions to “ DR. JILL ELLEN ANNA MAUSER DC” Practice Location

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