Individual
TRACY NICOLE FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA DC
Contact information
Practice address
5750 RUDDELL RD SE, STE B, LACEY, WA 98503
(360) 412-8286
(360) 412-7403
Mailing address
5750 RUDDELL RD SE, STE B, LACEY, WA 98503
(360) 412-8286
(360) 412-7403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034299
WA
111N00000X
Chiropractor
DC28887
CA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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