| NPI | 1700390267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE S TREBIBSKI Office Manager 360-698-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA DC0005183762) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |