NPI | 1235478249 |
---|---|
Doing Business As | 17TH STREET CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | RODRIGO TAVORA OLIVEIRA CEO 504-453-6244 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32406) |
Enumeration Date | 2013-02-11 |
Last Update Date | 2013-02-11 |