NPI | 1114633294 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLEY NICHOLE AZCARATE - SILVA Chiropractor / Owner 915-667-0096 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |