| NPI | 1316211279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN JAUREGUI Billing Director 623-374-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5526) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |