| |
725 N Stanley St, Ste. C, Medical Lake, WA 99022-8940 | |
(509) 299-6900 | |
(509) 299-6900 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 725 N Stanley St, Medical Lake, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962564294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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725 N Stanley St, Ste. C, Medical Lake, WA 99022-8940 Ph: (509) 299-6900 | 725 N Stanley St, Ste. C, Medical Lake, WA 99022-8940 Ph: (509) 299-6900 |