Countryside Chiropractic Center Plc

NPI #1053640912 in Clare, Michigan

Provider Information

NPI Number
1053640912
Entity Type
Organization
Organization Name
Countryside Chiropractic Center Plc
Primary Specialty
Chiropractor
Enumeration Date
Dec 23, 2009
Last Updated
Dec 23, 2009

Practice Location

Address
2100 S CLARE AVE
City
Clare
ZIP Code
48617-9755
Phone
(989) 386-2931

Authorized Official

Name
DR. LISA M JACO, D.C
Title
OWNER/PRESIDENT
Phone
(989) 386-2931

Specialties & Taxonomy Codes

Specialty
Chiropractor

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