| NPI | 1538941026 |
|---|---|
| Doing Business As | REVAMPED ACTIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MARYLOU GARCIA CEO 949-994-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |