NPI | 1275825804 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE P DE MAERTELAERE Dr/CEO 207-990-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: ME CR739) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2011-07-08 |