| NPI | 1952731556 |
|---|---|
| Former Name | RANDI LYNN HIGINBOTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32763) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15916) |
| 111N00000X Chiropractor (Licence: CA 32763) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2021-05-28 |