NPI | 1083748859 |
---|---|
Doing Business As | SHASTA SPINE CENTER |
Entity Type | Organization |
Authorized Contact | JENS OLE JENSEN Chiropractor 530-241-2798 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC19853, DC19769) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |