NPI | 1265738876 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MARIE BRADBURY President 360-714-1185 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003203) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-03-29 |