| NPI | 1336437250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN J FANCHER Owner/Manager 206-659-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034883) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-08-15 |