| NPI | 1316709025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIANNA NICODEMUS Chiropractor 501-607-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |