| NPI | 1205595550 |
|---|---|
| Doing Business As | SPINE AND SPORT CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DAVIS NGUYEN CEO 415-623-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-30 |