NPI | 1134263817 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK LAGOMARSINO President 209-932-8851 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27930) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C42153) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-08-22 |