| NPI | 1245991512 |
|---|---|
| Former Legal Business Name | NOVA CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN SHAW President 408-249-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |