NPI | 1194001065 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHEA DARLENE EVANS Co Owner, Doctor 510-213-8202 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DcC31571) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31404) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2011-10-24 |