Healthsource Enterprises PC
NPI #1619300084 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1619300084
- Entity Type
- Organization
- Organization Name
- Healthsource Enterprises PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 20, 2013
- Last Updated
- Feb 21, 2014
Practice Location
- Address
- 5091 KIPLING ST
- Address 2
- STE 210
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-2325
- Phone
- (720) 974-9477
Authorized Official
- Name
- DR. LAUREN WALKER MANSOLF, D.C.
- Title
- PRESIDENT
- Phone
- (720) 974-9477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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