| NPI | 1043483555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE YVETTE HARVEY Chiropractor 208-794-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1227) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |