Organization
QUALITY LIFE CHIROPRACTIC & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARDO SAMALOT D.C. (CHIROPRACTOR)
(413) 209-1475
Entity
Organization
Contact information
Practice address
1272 LIBERTY ST, SPRINGFIELD, MA 01104-1153
(413) 209-1475
Mailing address
1272 LIBERTY ST, SPRINGFIELD, MA 01104-1153
(413) 209-1475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093148A
—
MA
Enumeration date
06/18/2013
Last updated
06/18/2013
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