NPI | 1740368182 |
---|---|
Former Name | VALERIE JOY BOHLAND-REIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: GA CHIR005293) |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: WI 3740-012) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-02-13 |