NPI | 1215110416 |
---|---|
Former Name | HEATHER ANN LESCARBEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DC00626) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: HI dc-1154) |
111N00000X Chiropractor (Licence: NH 8031107) | |
Enumeration Date | 2007-12-11 |
Last Update Date | 2022-12-03 |