NPI | 1154865079 |
---|---|
Entity Type | Organization |
Authorized Contact | BECKY PERRY-DOMRES Doctor Of Chiropractic 701-838-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 1033) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 1042) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2024-03-29 |