| NPI | 1619160447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL VILLEGAS Owner 316-794-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: KS KS 04020) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |