| NPI | 1790968055 |
|---|---|
| Doing Business As | CHIROPRACTICUSA OF LAUREL RUN |
| Entity Type | Organization |
| Authorized Contact | MARK H CHEN Chiropractor 352-861-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-05-27 |