NPI | 1518740224 |
---|---|
Entity Type | Organization |
Authorized Contact | CONCEPTION P GONZALES Owner 808-600-1771 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 111N00000X Chiropractor |
111NR0400X Chiropractor, Rehabilitation | |
225700000X Massage Therapist | |
Enumeration Date | 2023-08-16 |
Last Update Date | 2023-08-16 |