| NPI | 1336307164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHY LYNN PHILLIPS Owner/Chiropractor 505-220-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1532) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |