NPI | 1538496047 |
---|---|
Former Name | TANYA LAQUIS SCANTLEBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33121) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 008532) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2018-03-08 |