| NPI | 1043523962 |
|---|---|
| Doing Business As | BACK TO ESSENTIALS, LLC |
| Entity Type | Organization |
| Authorized Contact | WILLSHONDA CLAIRE WAGES Clinic Director 803-206-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3556) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |