Organization
LIFE FAMILY CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL ELI POCHUCHA D.C. (CEO)
(651) 429-3015
Entity
Organization
Contact information
Practice address
1060 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6344
(651) 429-3015
(651) 653-3832
Mailing address
1060 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6344
(651) 429-3015
(651) 653-3832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4771
MN
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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