| NPI | 1417098005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. FREDRICH Clinic Manager 425-771-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA ch00002873) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |