| NPI | 1306474242 |
|---|---|
| Other Name | JILL RUESCH-LANE, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JILL RUESCH-LANE CEO 323-841-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |