NPI | 1982217840 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS CHAN LEACH C.E.O. 302-368-0124 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2020-08-28 |
Last Update Date | 2022-03-30 |