| NPI | 1629083159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALVIN DESJARLAIS Vice President 919-776-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2650) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |