NPI | 1790968188 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD PAUL MORAN Chiropractor 509-452-0738 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003365) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2020-07-06 |