Individual
PAULA JA WRENTMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
634 7TH AVE, KIRKLAND, WA 98033-5665
(425) 365-7964
Mailing address
602 216TH ST SW, BOTHELL, WA 98021-8104
(425) 365-7964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60605484
WA
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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