Organization
SANDIFER CHIROPRACTIC CLINIC, INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAMON C SANDIFER DC (DR OF CHIROPRACTIC)
(360) 491-6310
Entity
Organization
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
111N00000X
Chiropractor
Primary
CH00000764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH0000764
LICENSE
WA
Enumeration date
10/10/2007
Last updated
10/10/2007
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