NPI | 1871891598 |
---|---|
Doing Business As | JOSEPH RUSSO, D.C. |
Entity Type | Organization |
Authorized Contact | JOSEPH A. RUSSO Owner 864-848-4992 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1047) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-03-03 |