NPI | 1811402431 |
---|---|
Doing Business As | EVERGREEN WELLNESS STUDIOS |
Entity Type | Organization |
Authorized Contact | SUMMER DAYE DANCE Executive Director 208-895-8595 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2017-12-05 |
Last Update Date | 2017-12-05 |