| NPI | 1639262041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J SOCKETT Doctor Of Chiropractic 208-528-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA861) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |