| NPI | 1184819211 |
|---|---|
| Doing Business As | FOUNTAIN OF LIFE CHIROSTUDIO |
| Entity Type | Organization |
| Authorized Contact | SHANNON BLUMHARDT President/Chiropractor 714-665-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 30606) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-09-30 |