NPI | 1053506428 |
---|---|
Doing Business As | NEW LIFE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | MICHAEL J GEHEREN President 757-472-0630 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-09-10 |