| NPI | 1962679340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A BUENO President 770-386-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: GA CHIR007057) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |