Individual
LAURA FAIRBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
905 NE 45TH ST STE B, SEATTLE, WA 98105-4783
(206) 782-9762
Mailing address
905 NE 45TH ST STE B, SEATTLE, WA 98105-4783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60868374
WA
Other
Enumeration date
09/07/2018
Last updated
12/03/2019
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