NPI | 1497081996 |
---|---|
Former Name | DEANA ANTOINETTE LAJINESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4346) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009616) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2019-08-02 |