| NPI | 1881203339 |
|---|---|
| Former Legal Business Name | COACH JARED INC |
| Entity Type | Organization |
| Authorized Contact | JARED COVARRUBIAS Owner 626-536-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2021-04-15 |