| NPI | 1306170501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NICHOLAS DEANGELIS Chiropractor 330-219-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2009002883) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-01-12 |