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 |