| NPI | 1235169053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEE GREAUX Owner 510-883-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC-27916) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |