Individual
DR. MARVIN I KUNIKIYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5401 CORPORATE CENTER LOOP SE, STE R, LACEY, WA 98503-5606
(360) 918-8782
(360) 972-2096
Mailing address
5401 CORPORATE CENTER LOOP SE, STE R, LACEY, WA 98503-5606
(360) 918-8782
(360) 972-2096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173617
LABOR & INDUSTRIES
WA
Enumeration date
09/14/2006
Last updated
09/17/2018
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