NPI | 1770776544 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SCOTT NIBLO President 757-622-8777 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001408) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2016-09-27 |