| NPI | 1093870800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JEROME SICILIA Owner President 509-489-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003110) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |