| NPI | 1629784855 |
|---|---|
| Doing Business As | EAST DESERT INN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | GLEN S COCHRANE Owner 702-333-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |