| NPI | 1174096309 |
|---|---|
| Doing Business As | VANIDESTINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS J VANIDESTINE Owner 207-942-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |