| NPI | 1154836054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JO BOLLMAN President 408-599-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |