| NPI | 1124572003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CHARLES FRACH Billing Manager 408-478-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC031508) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |