| NPI | 1417376997 |
|---|---|
| Doing Business As | THE SOURCE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MELISSA CRAGO President 510-457-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32767) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |