NPI | 1528435385 |
---|---|
Former Name | RALEIGH BETH WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5670) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: OR 5670) |
111NP0017X Chiropractor, Pediatric Chiropractor (Licence: OR 5670) | |
Enumeration Date | 2015-08-27 |
Last Update Date | 2025-02-28 |