Organization
MAVERICK DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT LEONE D.C. (OWNER/CHIROPRACTOR)
(253) 471-1289
Entity
Organization
Contact information
Practice address
1720 S 72ND ST STE 201, TACOMA, WA 98408-1299
(253) 471-1289
(253) 471-1290
Mailing address
1720 S 72ND ST STE 201, TACOMA, WA 98408-1299
(253) 471-1289
(253) 471-1290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034829
WA
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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