| NPI | 1528727682 |
|---|---|
| Former Legal Business Name | THERAPY CRYO SALON |
| Entity Type | Organization |
| Authorized Contact | MAYMANAT ASHTIANI CEO 949-699-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |