| NPI | 1093059107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANI A MILLER Owner/CEO 650-678-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038011605) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |