| NPI | 1356461412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIE ESTELLE MONTALAND Treasurer 425-641-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034383) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: WA CH00003532) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |