NPI | 1790134724 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE NICHOLE CLOUSE Chiropractor/Owner 480-310-1792 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8400) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |