| NPI | 1083169577 |
|---|---|
| Doing Business As | FULL LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JUAN FERNANDEZ-GOMEZ Owner 570-239-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4584) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-10-05 |