| NPI | 1134362700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GAYLE LARSON Doctor Of Chiropractic 760-321-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 14964) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |