NPI | 1831474550 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD RAMON CANOVA President 801-726-2547 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 269016-1202) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2011-10-13 |