| NPI | 1013246768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCESCA MICHELLE RUSSO-GOFORTH Chiropractor/Manager 505-881-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1413) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1750) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2010-03-12 |