NPI | 1366423949 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRIN L. WASCHER Sole Member 570-494-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-004739-L) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2007-12-21 |