| NPI | 1366066094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY SQUIBB Owner 510-736-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-10-13 |