| NPI | 1376939165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ELIZABETH BREWER Chiropractor 386-316-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID chia1650) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |