NPI | 1578824025 |
---|---|
Doing Business As | BACK TO LIFE FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | BRIAN HOWARD WIKOFF Owner/President 1714-541-5433 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 22211) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2012-05-31 |