NPI | 1063579464 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA CHRISTINE MILLER President 757-686-7316 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555883) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |