NPI | 1003119793 |
---|---|
Entity Type | Organization |
Authorized Contact | KAPEDJANIE BOIS Owner 401-415-9585 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: RI DCP00585) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2024-04-11 |