| NPI | 1790158293 |
|---|---|
| Doing Business As | ADVANCED CHIROPRACTIC AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOHN BAMBAN Owner 228-207-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MS 1179) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |