NPI | 1336457407 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY RAY MANNING Owner/President 434-836-2905 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556602) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |