| NPI | 1932369667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON SIMANS Office Manager 360-373-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA Ch00002551) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00033792) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |