Organization
CALIFORNIA CHIROPRACTIC WELLNESS CORPORATION
Active
Other names
New Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALAN SMITH D.C. (CHIEF EXECUTIVE OFFICER)
(408) 960-4236
Entity
Organization
Contact information
Practice address
6839 FIVE STAR BLVD, SUITE F, ROCKLIN, CA 95677
(408) 960-4236
Mailing address
6839 FIVE STAR BLVD, SUITE F, ROCKLIN, CA 95677
(408) 960-4236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-31678
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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