| NPI | 1295345932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE ALCIDE Owner 800-315-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-11-16 |