| NPI | 1265124218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HESSELTINE President 909-233-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |