NPI | 1417365289 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIEL ELIZABETH BLACKBURN Principal Member 989-413-3653 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3907) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2014-09-23 |