| NPI | 1407014111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY DANIEL YBARRA Sole Proprietor 314-835-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2002030417) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |