| NPI | 1235527888 |
|---|---|
| Doing Business As | FAIRLEA CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | VINCENT E. WARDLOW Chiropractor/Owner 304-645-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-12-02 |