NPI | 1306146089 |
---|---|
Doing Business As | CHIROPRACTIC SPORTS AND NUTRITION CENTER |
Entity Type | Organization |
Authorized Contact | IRENE C PIERCE Office Manager 225-928-3244 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 1289) |
Enumeration Date | 2010-10-27 |
Last Update Date | 2010-10-27 |