NPI | 1790930964 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN CHRISTOPHER JESTEL President 563-271-7903 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007144) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2008-12-01 |