| NPI | 1972841252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LLACA Doctor Of Chiropractic 480-652-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ 8126) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-05-09 |