| NPI | 1427509579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON T WAGENER DEWOLF Owner 425-885-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001859) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |