| NPI | 1578204459 |
|---|---|
| Former Legal Business Name | CHIRO & LASER ST. AUGUSTINE |
| Entity Type | Organization |
| Authorized Contact | JASON PALMER Owner 909-800-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-06-01 |