| NPI | 1649749219 |
|---|---|
| Doing Business As | WILLOW GLEN CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JACKLYN MUXEN Chiropractor 408-975-9753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |