NPI | 1730385543 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTA MARIA BOYKIN Business Manager 719-578-8820 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 2638) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2021-01-13 |