| NPI | 1861502700 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LORI ALLISON CRAVIOTTO Secretary Of The Corporation 805-688-5545  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC17657)  | 
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2022-07-21 |