NPI | 1265696496 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD JORGENSON Member 225-928-3244 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1289) |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2008-07-16 |
Last Update Date | 2012-08-03 |