360 Chiropractic Ps

NPI 1053596650 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1053596650
Enumeration Date 01/02/2008
Last Updated 01/02/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEFANIE MARIE STEFANIE
Position PRESIDENT
Phone (360) 923-0360
Fax
Practice Location
5831 LACEY BLVD SE STE G
LACEY WA, 98503-7241, US
Phone (360) 923-0360
Fax
Business Location
5831 LACEY BLVD SE STE G
LACEY WA, 98503-7241, US
Phone (360) 923-0360
Fax
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, 360 Chiropractic Ps NPI is 1053596650, taxonomy code is 302R00000X 360 Chiropractic Ps physically located at 5831 Lacey Blvd Se Ste G, Lacey WA, 98503-7241. NPI Number 1033115704 has the healthcare provider type.

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1053596650 NPI number is provided on an as is basis without warranty of any kind. 1053596650 is maintained by the National Plan & Provider Enumeration System. The contents of 360 Chiropractic Ps are for informational purposes only.