NPI | 1942690540 |
---|---|
Former Legal Business Name | IDEALW84U, LLC |
Entity Type | Organization |
Authorized Contact | DONALD LEE STOKES Owner 310-910-0238 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 15402) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2015-02-03 |