| NPI | 1881405314 |
|---|---|
| Former Legal Business Name | LIFE IMPULSE CHIROPRACTIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | GABRIEL A. MATOS Clinic Director 366-270-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |