NPI | 1346539814 |
---|---|
Professional Name | JACOB MARTIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 31824) |
Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: CA 31824) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2021-09-09 |