| NPI | 1881894343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA LISA PROUDFOOT Chf Mananger, CEO, Sec Governor 612-676-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 1995) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-08-20 |