NPI | 1689958126 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK E KING Gen Manager 760-724-8104 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA 21391) |
Enumeration Date | 2011-10-03 |
Last Update Date | 2011-10-03 |