Individual
DR. LESLIE MARIE BANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1505 NW GILMAN BLVD, SUITE 8, ISSAQUAH, WA 98027-5398
(425) 313-9222
(425) 313-9339
Mailing address
1505 NW GILMAN BLVD, SUITE 8, ISSAQUAH, WA 98027-5398
(425) 313-9222
(425) 313-9339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034311
WA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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