Individual
MR. SAMUEL LIONEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23801 EAST APPLEWAY AVE, #110, LIBERTY LAKE, WA 99019
(509) 922-4133
(509) 928-9639
Mailing address
23801 EAST APPLEWAY AVE, #110, LIBERTY LAKE, WA 99019
(509) 922-4133
(509) 928-9639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 605 707 33
WA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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