| NPI | 1871966440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ANTONIO BRENNER Owner/Member 317-888-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IN 84000078A) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |