| NPI | 1003185265 |
|---|---|
| Former Name | JACALYN RENAE MAROSSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1930) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32089) |
| Enumeration Date | 2011-12-17 |
| Last Update Date | 2025-01-20 |