NPI | 1508133323 |
---|---|
Doing Business As | LIFE CHIROPRACTIC CLINIC OF STAFFORD |
Entity Type | Organization |
Authorized Contact | MARK E. BRYNGELSON Chiropractor 540-720-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001099) |
Enumeration Date | 2011-11-22 |
Last Update Date | 2011-11-22 |