| NPI | 1144693623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MUTCH Owner 707-525-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33204) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33280) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |