| NPI | 1548433683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN DAWN KEITH-MADEIROS President/Owner 360-675-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003601) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2011-08-02 |