| NPI | 1841020583 |
|---|---|
| Former Legal Business Name | WHOLISTIC FOUNDATIONS PLLC |
| Entity Type | Organization |
| Authorized Contact | STACEY NAKAYAMA Owner 408-781-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |