| NPI | 1205291564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN THOMAS PAQUETTE Chiropractor 818-687-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 60608428) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |