Individual
DR. GITA VASUDEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9425 35TH AVE NE, SEATTLE, WA 98115-2500
(206) 524-6335
Mailing address
9425 35TH AVE NE, SEATTLE, WA 98115-2500
(206) 524-6335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111627
LABOR & INDUSTY NUMBER
WA
01
—
VA4126
REGENCE RIDER NUMBER
WA
Enumeration date
03/21/2007
Last updated
07/09/2007
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