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 |