| NPI | 1962898932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEO VANQUAETHEM Doctor Of Chiropractic 360-943-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA ch00001423) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |