NPI | 1104834480 |
---|---|
Former Name | DEBORAH LOU MAYHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556193) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7477) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-07-09 |