| NPI | 1841747334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRISON R WEAVER-GOURDEAU Chiropractor 818-262-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33614) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |