| 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 |