Individual
DR. LESLIE MARK MERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
15311 CANYON RD E, PUYALLUP, WA 98375-7473
(253) 531-2745
(253) 539-1815
Mailing address
15311 CANYON RD E, PUYALLUP, WA 98375-7473
(253) 531-2745
(253) 539-1815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001510
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017026
LABOR & INDUSTRIES
WA
Enumeration date
04/23/2007
Last updated
07/08/2007
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