| NPI | 1770063117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA AWENDER Office Manager 650-366-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: CA DC20907) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |