| NPI | 1740421742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CHARLES FRACH Billing Authority 408-984-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |