| NPI | 1891827648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA LYNN DE LA VARA Doctor Of Chiropractic And Certifie 303-763-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 36136) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-02-19 |