| NPI | 1982725198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM PUTRES KHUMOORO Chiropractor 1909-838-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC25727) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |