Provider Demographics
NPI:1912523770
Name:WAUHOB, KARLIE MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:KARLIE
Middle Name:MICHELLE
Last Name:WAUHOB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KARLIE
Other - Middle Name:MICHELLE
Other - Last Name:TERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:31333 TEMECULA PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6831
Mailing Address - Country:US
Mailing Address - Phone:951-483-2007
Mailing Address - Fax:951-483-2008
Practice Address - Street 1:31333 TEMECULA PKWY STE 140
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6831
Practice Address - Country:US
Practice Address - Phone:951-483-2007
Practice Address - Fax:951-483-2008
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor