NPI | 1255471835 |
---|---|
Doing Business As | AVENUES HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ALTON JOHN KRENZELOK President 307-433-8853 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 594) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2024-02-27 |