NPI | 1578833372 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY L FABIANEK Office Manager 253-833-3290 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00000770) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2012-01-10 |