| NPI | 1285145177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAL RUSSELL President/ Chiropractor 858-573-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29891) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11156) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |