Individual
NOLAN DEATHERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1101 SUPERMALL WAY STE 1269, AUBURN, WA 98001-6535
(253) 269-0261
Mailing address
1101 SUPERMALL WAY STE 1269, AUBURN, WA 98001-6535
(253) 269-0261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60040685
WA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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