| NPI | 1558115188 |
|---|---|
| Doing Business As | ONE SOURCE BURIEN |
| Entity Type | Organization |
| Authorized Contact | DANIEL J DELUCCHI Owner 425-908-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |