NPI | 1477842854 |
---|---|
Former Name | JANIS RUTH PROUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ CHR.0009087) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-31827) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2024-10-31 |