Organization
BREATH OF LIFE CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB ULTIMO D.C. (CHIROPRACTOR)
(508) 250-7359
Entity
Organization
Contact information
Practice address
146 BRIARCLIFF RD, BROCKTON, MA 02301-3011
(508) 250-7359
Mailing address
92 TORREY ST STE 2, BROCKTON, MA 02301-4862
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3095
MA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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