NPI | 1144865395 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BRIAN VANWAGENEN Doctor Of Chiropractic 916-771-4151 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition |
Enumeration Date | 2019-11-12 |
Last Update Date | 2019-11-12 |