| NPI | 1740493402 |
|---|---|
| Doing Business As | LIFE CHIROPRACTIC OFFICE |
| Entity Type | Organization |
| Authorized Contact | JERRY WILLIAM DIPPE' Owner 707-823-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC10832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC10776) |
| 111N00000X Chiropractor (Licence: PA DC001454L) | |
| 111N00000X Chiropractor (Licence: PA DC001351L) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-06-09 |