NPI | 1083719447 |
---|---|
Doing Business As | LAFAYETTE SQUARE CHIROPRACTIC CENTRE |
Entity Type | Organization |
Authorized Contact | CRYSTAL B PEAIRS Owner 314-497-5507 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 20004024604) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2022-09-16 |