| NPI | 1114187242 |
|---|---|
| Doing Business As | WATERFORD LIFE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADRIAN STEVEN GAVIGLIO President Owner 248-681-7655 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-09-04 |