| 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 |