| NPI | 1306418678 |
|---|---|
| Doing Business As | THE SOURCE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DYLLON MAWN Owner/President 561-876-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-11-06 |