NPI | 1780955740 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA L STUBBS Owner 601-622-2998 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MS 1177) |
Enumeration Date | 2012-01-23 |
Last Update Date | 2012-01-23 |