NPI | 1952731556 |
---|---|
Former Name | RANDI LYNN HIGINBOTHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC32763) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15916) |
111N00000X Chiropractor (Licence: CA 32763) | |
Enumeration Date | 2013-11-18 |
Last Update Date | 2021-05-28 |