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Organization
SOURCE FOR WELLNESS
Active
Organization
SOURCE FOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LITTLE D.C. (OWNER)
(510) 526-7300
Entity
Organization
Contact information
Practice address
405 KAINS AVE, STE 201, ALBANY, CA 94706-1271
(510) 526-7300
(888) 503-9990
Mailing address
405 KAINS AVE, STE 201, ALBANY, CA 94706-1271
(510) 526-7300
(888) 503-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29670
CA
171100000X
Acupuncturist
AC6019
CA
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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