Leo A. Staten DC LLC

NPI #1407251218 in Neptune City, New Jersey

Provider Information

NPI Number: 1407251218
Entity Type: Organization
Organization Name: Leo A. Staten DC LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 23, 2014
Last Updated: Aug 31, 2015

Practice Location

Address: 61 MORRIS AVE
City: Neptune City
State: New Jersey
ZIP Code: 07753-6426
Phone: (732) 456-6337

Authorized Official

Name: MS. DIMITRA DENISE PALLIS
Title: MANAGER
Phone: (201) 874-9084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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