NPI | 1710341847 |
---|---|
Doing Business As | ONE SOURCE WELLNESS AND CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | PAUL EDWARD RALSTON Dc 262-751-7505 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3958-12) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2020-03-11 |