Individual
TY ANDREW FODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1724 WESLEY WAY, SUNNYSIDE, WA 98944-6001
(509) 839-8000
Mailing address
1724 WESLEY WAY, SUNNYSIDE, WA 98944-6001
(509) 839-8000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61465595
WA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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