| NPI | 1548250517 |
|---|---|
| Former Name | NORA FANGON VALDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0073726) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-27428) |
| 111N00000X Chiropractor (Licence: HI DC-906) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-03-14 |