| NPI | 1477295194 |
|---|---|
| Doing Business As | GREENLIGHT CHIROPRACTIC & WELLNESS LAB |
| Entity Type | Organization |
| Authorized Contact | JORDAN LEAL ZIEGLER Clinical Director 719-321-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |