| NPI | 1154568897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DARRELL MALLORY President 360-892-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002543) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-05-05 |