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 |