| NPI | 1669573820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM GEDEVANISHVILI Clinic Administrator 253-854-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001940) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-10-24 |