Individual
CODY MATTHEW HOLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13003 SE KENT KANGLEY RD STE 110, KENT, WA 98030-7919
(253) 638-2424
Mailing address
13003 SE KENT KANGLEY RD STE 110, KENT, WA 98030-7919
(253) 638-2424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
208D00000X
WA
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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