| 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 |