| NPI | 1427209055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DIANE CHENEY Billing Manager 702-474-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B383) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |