NPI | 1740571819 |
---|---|
Former Legal Business Name | N/A |
Entity Type | Organization |
Authorized Contact | HECTOR SAMUEL MALAVE Owner 908-444-8913 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00525900) |
Enumeration Date | 2011-04-25 |
Last Update Date | 2011-04-25 |