| NPI | 1639317977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN MILES President 573-443-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: MO 002607) |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-28 |