NPI | 1770020083 |
---|---|
Former Name | ANDRIJANA JEVTIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32642) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 32642) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2019-04-26 |