| NPI | 1972054906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHU TRAN Member 803-464-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10655) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9170) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |