Individual
DR. TAYLOR JACOB VANQUAETHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1645 COOPER POINT RD SW, OLYMPIA, WA 98502-5735
(360) 943-6206
(360) 943-6276
Mailing address
PO BOX 2291, OLYMPIA, WA 98507-2291
(360) 943-6206
(360) 943-6276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60225617
WA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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