Organization
CLASSIC CHIROPRACTIC P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN ISAMU KUNIKIYO D.C. (PRESIDENT)
(360) 458-3847
Entity
Organization
Contact information
Practice address
35025 90TH AVE. S., UNIT 6, ROY, WA 98580
(360) 400-2225
(360) 400-2282
Mailing address
P.O.BOX 3082, YELM, WA 98597
(360) 400-2225
(360) 400-2282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHOOOO2656
WA
Other
Enumeration date
07/30/2007
Last updated
11/04/2010
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