| NPI | 1952779498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLLE RAMOS Office Manager 360-254-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 2337) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60200517) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-22 |