Organization
YENSID JR LLC
Active
Other names
Active Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A MEYERS DC (OWNER)
(574) 259-9355
Entity
Organization
Contact information
Practice address
3027 MISHAWAKA AVE, SOUTH BEND, IN 46615-2347
(574) 259-9355
(574) 288-2737
Mailing address
3027 MISHAWAKA AVE, SOUTH BEND, IN 46615-2347
(574) 259-9355
(574) 288-2737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001756A
IN
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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