NPI | 1346696382 |
---|---|
Former Name | MEGAN MARI PROCACCINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8613) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012967) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2021-02-11 |