Individual
MIGUEL GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
7131 W DESCHUTES AVE STE 102, KENNEWICK, WA 99336-7801
(509) 222-1112
(509) 222-1113
Mailing address
7131 W DESCHUTES AVE STE 102, KENNEWICK, WA 99336-7801
(509) 222-1112
(509) 222-1113
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
60610321
WA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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