Organization
LIVING PURE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DIAS-ZAIR D.C. (MANAGER)
(623) 572-4476
Entity
Organization
Contact information
Practice address
17235 N 75TH AVE, SUITE F-110, GLENDALE, AZ 85308-0831
(623) 572-4476
Mailing address
17235 N 75TH AVE, SUITE F-110, GLENDALE, AZ 85308-0831
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7419
AZ
Other
Enumeration date
10/03/2011
Last updated
10/19/2011
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