| NPI | 1598110660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AINSLEY L PARKS Owner/Operator 707-834-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WA CH60629983) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-27 |