| NPI | 1871774216 |
|---|---|
| Doing Business As | ACTIVE LIFE CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARMAINE MAGALE Owner/CEO 916-551-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC28818) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |