| NPI | 1457551152 |
|---|---|
| Doing Business As | CHIROPRACTIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN MICHELE RUSSELL President 716-298-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x009724) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |