| NPI | 1578889010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WILSON CFO 916-797-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC312960) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A30174) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-12 |