| NPI | 1073713434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALLAN GOVETT Secretary 209-537-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC0107830) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC0107740) |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA DC0107830) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: CA DC0107830) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |