NPI | 1780930461 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEKSANDR KRUCHAKOV Mgmr 954-922-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1714) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH6252) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-07-31 |