NPI | 1992956908 |
---|---|
Doing Business As | HEALTH SOURCE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | LUKE JOHN-ALLEN MOLITOR Chiropractic Physician/Owner 469-449-4477 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2008-10-08 |
Last Update Date | 2008-10-08 |