NPI | 1831203033 |
---|---|
Former Name | MARION H ODELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556540) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 713674) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2022-02-09 |