| NPI | 1740873397 |
|---|---|
| Doing Business As | KINGSTON CROSSING WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RAYSHEL STANTON Office Manager 360-297-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |