Organization
INNERBLOOM CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMALISSE NATAL RIVERA DC (PRESIDENT)
(787) 632-8484
Entity
Organization
Contact information
Practice address
220 WESTERN AUTO PLAZA, STE 203, TRUJILLO ALTO, PR 00976
(787) 292-0905
Mailing address
PO BOX 368, SALINAS, PR 00751-0368
(787) 632-8484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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