NPI | 1518295831 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE THOMAS BLEVINS President 360-426-6325 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034351) |
Enumeration Date | 2009-11-24 |
Last Update Date | 2009-11-24 |