NPI | 1326731399 |
---|---|
Former Legal Business Name | BACK TO WELLNESS CHIROPRACTIC LLC |
Entity Type | Organization |
Authorized Contact | GUSTAVO R SANTOS MARRERO Owner 787-354-0318 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-05-26 |