NPI | 1366930208 |
---|---|
Entity Type | Organization |
Authorized Contact | IPERLITTA VANCE LOLIS Chiropractor/Owner 225-522-1380 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13635) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-05-28 |