| NPI | 1184312407 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | UGOCHUKWU MAGNUS AGBILIBEAZU Owner/ Doctor 344-074-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2026-06-26 |