| NPI | 1427641661 |
|---|---|
| Doing Business As | EVOLVED SPINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOEL DICKSON Owner 209-505-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-06-30 |