| NPI | 1770689614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P PLACIDE President Doctor 804-745-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: VA 104556260) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-02-22 |