| NPI | 1104259225 |
|---|---|
| Doing Business As | HEALTHSOURCE OF SOUTH TACOMA |
| Entity Type | Organization |
| Authorized Contact | JAMES ANGELO FRANDANISA Owner 253-582-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002876) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |