| NPI | 1306969712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN R CRAFT Owner 650-726-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 27978) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 28891) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |