Organization
QUEZADA ENTERPRISES INC
Active
Other names
Shepherd Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M QUEZADA DC (SECRETARY TREASURER)
(360) 825-1344
Entity
Organization
Contact information
Practice address
28801 SE 480TH ST, ENUMCLAW, WA 98022-9357
(360) 825-1344
(360) 802-2442
Mailing address
28801 SE 480TH ST, ENUMCLAW, WA 98022-9357
(360) 825-1344
(360) 802-2442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NN0400X
Neurology Chiropractor
—
—
111NP0017X
Pediatric Chiropractor
—
—
Other
Enumeration date
10/31/2019
Last updated
12/23/2019
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