Organization
BRILLIANT LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM MARTIN D.C. (OWNER)
(253) 383-0577
Entity
Organization
Contact information
Practice address
708 BROADWAY STE 403, TACOMA, WA 98402
(253) 383-0577
(253) 383-0574
Mailing address
708 BROADWAY STE 403, TACOMA, WA 98402-3781
(253) 383-0577
(253) 383-0574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034780
WA
111N00000X
Chiropractor
CH00034834
WA
Other
Enumeration date
11/11/2008
Last updated
01/14/2020
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