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Organization
VITALITY CHIROPRACTIC, INC.
Active
Organization
VITALITY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BASISTA D.C. (CHIRPRACTOR)
(408) 363-1991
Entity
Organization
Contact information
Practice address
6940 SANTA TERESA BLVD, #2, SAN JOSE, CA 95119-1345
(408) 363-1991
Mailing address
6940 SANTA TERESA BLVD, #2, SAN JOSE, CA 95119-1345
(408) 363-1991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 21229
CA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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