NPI | 1578503702 |
---|---|
Former Name | KENDRA LYNN SLEYSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2004022004) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2004022004) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2009-02-25 |