| NPI | 1982651303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA M BOREN Chiropractor/Co Owner 612-298-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4777) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |