| NPI | 1649450735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA LYNN BEAVERS Owner/Chiropractor 310-859-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC23792) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2019-04-10 |