| NPI | 1184679045 |
|---|---|
| Doing Business As | INNOVATIVE WELLNESS SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | ROGER RAYMOND TANGEMAN President 509-327-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 00002328) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-01-18 |