| NPI | 1275878381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A BUENO President 678-574-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA 007057) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |