Individual
DR. KIMBERLY RENEE FORMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
17401 135TH AVE NE, SUITE 4, WOODINVILLE, WA 98072-6825
(425) 483-2320
(425) 424-3256
Mailing address
17401 135TH AVE NE, SUITE 4, WOODINVILLE, WA 98072-6825
(425) 483-2320
(425) 424-3256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034796
WA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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