| NPI | 1457761520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA UMA JOY MULNICK Chiropractor 208-343-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: ID CHIA-595) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID ACC-67) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |