NPI | 1275882995 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L PERDUE Doctor Of Chiropractic/Owner 920-960-2425 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3757) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2012-09-10 |