Organization
CENTRALIA CHIROPRACTIC, INC
Active
Other names
Centralia Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA M VIZNAUGH DC (OWNER)
(360) 736-9906
Entity
Organization
Contact information
Practice address
120 W MAGNOLIA ST, CENTRALIA, WA 98531-4316
(360) 736-9906
(360) 736-9906
Mailing address
120 W MAGNOLIA ST, CENTRALIA, WA 98531-4316
(360) 736-9906
(360) 736-9906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002444
WA
111N00000X
Chiropractor
CH00002580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67552
L&I
WA
Enumeration date
03/13/2007
Last updated
08/22/2020
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