NPI | 1811666969 |
---|---|
Doing Business As | DIVINE HEALING CHIROPRACTIC INC |
Entity Type | Organization |
Authorized Contact | AZIEN MOUSAVI Provider/Owner 657-221-5436 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2021-09-11 |
Last Update Date | 2024-06-25 |