NPI | 1972033660 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCY DEBRA DANE President 239-380-5596 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NC 3817) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2025-06-30 |