| NPI | 1447661897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G DONATELLO Registered Agent 207-438-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1052) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |