| NPI | 1871715003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CLIFFORD ROSASCO Owner President 360-757-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001517) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00033895) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-01-12 |