NPI | 1124198007 |
---|---|
Doing Business As | BODY STRUCTURE |
Entity Type | Organization |
Authorized Contact | GEORGE MICHAEL MARIELLA President 323-469-8062 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |