NPI | 1326038134 |
---|---|
Doing Business As | MAIN STREET CHIROPRACTIC, INC. |
Entity Type | Organization |
Authorized Contact | LISA DE LA TORRE Owner/President 408-395-4333 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC24969) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2010-10-20 |