| NPI | 1891187258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JEANNINE STALLMAN Owner 231-499-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009428) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-04-20 |