NPI | 1730710500 |
---|---|
Doing Business As | HEALTHSOURCE OF DAPHNE (FILED FOR) |
Entity Type | Organization |
Authorized Contact | CYNTHIA A. BAUDOIN Owner 251-303-3118 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |