| NPI | 1730924309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOA NGUYEN Owner 239-233-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |