NPI | 1710058219 |
---|---|
Former Name | TERRI ANNE WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10525) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3358) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2022-08-24 |