| NPI | 1104138825 |
|---|---|
| Doing Business As | CENTRO MEDICO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHOAR Sole Proprietor/CEO 805-797-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010477) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |