NPI | 1598137705 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKEITHA CHARMAINE BURTON Revenue Cycle Manager 505-539-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011346) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2021-08-24 |