NPI | 1952318867 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA GRACE OSTON Corp. Sec. / Tres. 505-888-1795 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1348) |
111N00000X Chiropractor (Licence: NM 1616) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2014-02-10 |