NPI | 1639364649 |
---|---|
Former Name | TONYA MARIE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3999) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9318) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2011-01-16 |