Organization
MONROE CHIROPRACTIC AND MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LANCE EBLEN (OWNER)
(360) 794-7115
Entity
Organization
Contact information
Practice address
1233 W MAIN ST, MONROE, WA 98272-2028
(360) 794-7115
Mailing address
1233 W MAIN ST, MONROE, WA 98272-2028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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