NPI | 1003067802 |
---|---|
Doing Business As | CONSCIOUS LIVING CLINIC |
Entity Type | Organization |
Authorized Contact | LISA M VERNA Owner 952-300-2387 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4610) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2012-06-18 |