NPI | 1013098102 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND MICHAEL DANDREA Owner/Chiropractor 360-352-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034604) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |