Individual
DR. ASHLEY MARLENE ANTONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
14777 NE 40TH ST, #102, BELLEVUE, WA 98007-3300
(425) 883-2543
(425) 867-1109
Mailing address
14777 NE 40TH ST, #102, BELLEVUE, WA 98007-3300
(425) 883-2543
(425) 867-1109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60211316
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH60211316
WASHINGTON STATE CHIROPRACTIC LICENSE
WA
Enumeration date
03/09/2011
Last updated
01/23/2017
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