NPI | 1932445731 |
---|---|
Former Name | MARLEE DAWN KEVECH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1252) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2632) |
Enumeration Date | 2012-12-25 |
Last Update Date | 2018-11-20 |