| NPI | 1629378757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SHANE RABURN Chiropractor/Owner 575-736-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1874) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2011-02-22 |