| NPI | 1245967520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRANCIS EADE Owner 707-255-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-01-05 |