| NPI | 1396816633 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | ARTIE L WILDING Dr Of Chiropractic President 757-220-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000148) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |