| NPI | 1790296382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDERSON MARTINS SILVA Owner/ Solo Practioner 848-456-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00718500) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |