JACOB RICHARD PETWAY

SACRAMENTO, CA
NPI1871938217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: CA  32615)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2013-04-29
Last Update Date2023-04-27
Business Address
Dr. JACOB RICHARD PETWAY DC, QME, IIE, BS
929 AZUSA ST
SACRAMENTO, CA 95833-2328
Phone number: 530-315-5594
Mailing Address
Dr. JACOB RICHARD PETWAY DC, QME, IIE, BS
929 AZUSA ST
SACRAMENTO, CA 95833-2328
Phone number: 530-315-5594