| NPI | 1154627024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CHARLES FRACH Office Manager 408-984-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC13796) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC0066920) |
| 111N00000X Chiropractor (Licence: CA DC0278260) | |
| 171100000X Acupuncturist (Licence: CA AC6692) | |
| 111N00000X Chiropractor (Licence: CA DC27826) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2012-06-11 |