NPI | 1144490129 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE MICHELLE BRYAN Chiropractor 251-626-8242 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 2388) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2008-03-06 |