| NPI | 1003313024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LONGORIA Chiropractic Physician 928-288-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8698) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-08-23 |