Organization
STAFFORD CORPORATION
Active
Other names
Matin Chiropractic and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE CARTER MARTIN D.C. (PRESIDENT)
(712) 520-1717
Entity
Organization
Contact information
Practice address
3675 N 129TH ST, OMAHA, NE 68164-5211
(712) 520-1717
Mailing address
722 REGENCY PKWY APT 707, OMAHA, NE 68114-4824
(712) 520-1717
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1496
NE
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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