| NPI | 1871836080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L NICHOLL Owner / Provider 916-594-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32059) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-09-25 |