| NPI | 1013089291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMISHA DENISE GREATHOUSE Office Manager 559-224-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| 111N00000X Chiropractor | |
| 111NX0100X Chiropractor, Occupational Health | |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-07-22 |