NPI | 1932396652 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER JOSEPH FOCHESATO President 360-428-0304 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002227) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034784) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-10-22 |