NPI | 1902076722 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELIQUE KATHLEEN CROSS Doctor/Owner 970-377-0918 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5120) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2008-03-07 |