Individual
DR. LEAMON C. SANDIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
704 LILLY RD SE, OLYMPIA, WA 98501-2115
(360) 491-6310
Mailing address
PO BOX 5310, LACEY, WA 98509-5310
(360) 491-6310
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH00000764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH00000764
STATE OF WA
WA
Enumeration date
03/22/2007
Last updated
07/08/2007
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