NPI | 1912118225 |
---|---|
Former Name | STEPHANIE ANN HOGLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6509860-1202) |
Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: UT 6509860-1202) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2024-02-09 |