NPI | 1376728659 |
---|---|
Former Legal Business Name | LIVE FOREVER YOUNG INC |
Entity Type | Organization |
Authorized Contact | VICTORIA T LE President 972-506-8776 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 10534) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2009-05-20 |