| NPI | 1821577032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN HULBERT Owner 907-339-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK CHIC523) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK ACUA126) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-05-30 |