NPI | 1750574422 |
---|---|
Doing Business As | BRADFORD SQUARE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | LAGENA L ROSA President 870-424-3611 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1711) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2009-11-23 |