NPI | 1215285739 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID V JESSOP Owner/Chiropractor 208-888-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1514) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2013-01-09 |