NPI | 1619180908 |
---|---|
Former Legal Business Name | KAIZEN WELLNESS INC |
Entity Type | Organization |
Authorized Contact | CHAD ROBERT LUCE President 239-887-3066 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8917) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2017-02-26 |