NPI | 1306350095 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE ALLEN WOOD Chiropractor/Owner 760-518-6076 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 12586) |
Enumeration Date | 2017-11-17 |
Last Update Date | 2017-11-17 |