| NPI | 1811961105 |
|---|---|
| Former Name | MICHELLE LYNN JARVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3662) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8428) |
| 111N00000X Chiropractor (Licence: CO CHR.0007437) | |
| 111N00000X Chiropractor (Licence: TX 9617) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-04-12 |