NPI | 1972631091 |
---|---|
Former Name | JOYCE BONNIE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1386) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 3969) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2007-07-08 |