| NPI | 1891702916 |
|---|---|
| Other Name | GREEN RUN CHIROPRACTIC CLINIC, P.C. |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SUSANNE ROSE President 757-468-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-11-08 |