NPI | 1730413774 |
---|---|
Doing Business As | BODYLOGICMD OF SACRAMENTO |
Entity Type | Organization |
Authorized Contact | BOB GHELFI Owner/Operator 866-972-5302 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G75101) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |