NPI | 1972189207 |
---|---|
Doing Business As | HEALTH SOURCE OF BOARDMAN |
Entity Type | Organization |
Authorized Contact | ASHLEY ELIZABETH RICE Owner 334-318-7307 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2021-03-18 |
Last Update Date | 2021-08-12 |