Individual
MICAYLA WEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
20119 S PRAIRIE RD E, BONNEY LAKE, WA 98391-7935
(253) 862-1555
(253) 862-1557
Mailing address
20119 S PRAIRIE RD E, BONNEY LAKE, WA 98391-7935
(253) 862-1555
(253) 862-1557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61500575
WA
Other
Enumeration date
10/10/2023
Last updated
12/04/2023
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