| NPI | 1265735146 |
|---|---|
| Doing Business As | PURE LIFE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BERNARD A CANNON Chiropractor/Owner 619-501-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA Dc30402) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |