| NPI | 1679236400 |
|---|---|
| Doing Business As | WAKE FOREST CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | EVAN JONATHON WAGONER Owner 260-573-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |