Organization
CAFE OF LIFE, INC
Active
Other names
Cafe of Life
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTIER ANDRE LALIN D.C. (PRESIDENT)
(864) 233-4568
Entity
Organization
Contact information
Practice address
1429 AUGUSTA ST, GREENVILLE, SC 29605-4027
(864) 233-4568
Mailing address
1429 AUGUSTA ST, GREENVILLE, SC 29605-4027
(864) 233-4568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2850
SC
111N00000X
Chiropractor
3466
SC
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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