| NPI | 1689885808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASALES ASIMACOPOULOS Member Owner 807-527-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555602) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2008-12-09 |