| NPI | 1205093408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHARLES LEE Chiropractor 208-841-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1293) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |