NPI | 1306129002 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL E RACE Owner 208-949-5592 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: ID CHIA-1233) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2013-02-12 |