Provider Demographics
NPI:1841398922
Name:ORENDER, DWAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:DWAYNE
Middle Name:
Last Name:ORENDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1105
Mailing Address - Country:US
Mailing Address - Phone:559-299-2898
Mailing Address - Fax:559-325-0113
Practice Address - Street 1:508 5TH ST
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1105
Practice Address - Country:US
Practice Address - Phone:559-299-2898
Practice Address - Fax:559-325-0113
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor