NPI | 1619085982 |
---|---|
Former Name | CHARLANNE VENTURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 26507) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 009599) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2016-07-20 |