| NPI | 1871894824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN REYES TAGLE President/Chiropractic Physician 510-459-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH dc 4034) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |