NPI | 1265281414 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY-KATHRYN BRAZIL President 559-362-9066 |
Organization Subpart ? | No |
Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-05-17 |
Last Update Date | 2025-08-12 |