NPI | 1194232942 |
---|---|
Former Name | TECIA JEAN PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 1034) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR0007567) |
Enumeration Date | 2018-01-02 |
Last Update Date | 2020-05-19 |