| NPI | 1659525988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE KOSAK Chiropractor 916-972-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 18484) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |