| NPI | 1790449981 |
|---|---|
| Doing Business As | DIAMOND STATE CHIROPRACTIC LLC |
| Entity Type | Organization |
| Authorized Contact | KEVIN NGUYEN Chiropractor 501-590-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |