NPI | 1154712552 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAUNA RAE MUNDINGER Chiropractor/Owner/President 858-997-9320 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5028-12) |
Enumeration Date | 2015-02-07 |
Last Update Date | 2015-06-02 |