NPI | 1902058233 |
---|---|
Former Name | GIRMA C AYALA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003391) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6221) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2008-10-17 |