| NPI | 1083026397 |
|---|---|
| Other Name | ADVANCED OSTEOPATHY |
| Entity Type | Organization |
| Authorized Contact | CLARENCE LYN NICODEMUS President, Medical Director 831-644-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A10296) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2015-01-14 |