| NPI | 1427564814 |
|---|---|
| Doing Business As | DIVINE SPINE BOULDER |
| Entity Type | Organization |
| Authorized Contact | JESSE VALADEZ Owner 303-444-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0005979) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |