NPI | 1881242683 |
---|---|
Former Name | MIKAYLA STORM JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4427) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 1044) |
111N00000X Chiropractor (Licence: NH 1059) | |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-09-05 |