| NPI | 1528272457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL STEVENS Presidente 619-925-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC25516) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |