Organization
FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE K RANDALL DC (PRESIDENT)
(360) 330-1800
Entity
Organization
Contact information
Practice address
1101 MELLEN ST, CENTRALIA, WA 98531-1173
(360) 330-1800
(360) 330-5866
Mailing address
1101 MELLEN ST, CENTRALIA, WA 98531-1173
(360) 330-1800
(360) 330-5866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WA
Other
Enumeration date
03/14/2007
Last updated
03/12/2008
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