NPI | 1811055387 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE ALICE COFFEY President 434-975-1994 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 010400667) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2013-01-22 |