| NPI | 1912061177 |
|---|---|
| Doing Business As | GRAND AVENUE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | EDWARD LLOYD LAUDA President 858-273-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27356) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2015-06-01 |