Individual
AUTUMN CHILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1951 1ST ST, CHENEY, WA 99004-2000
(509) 235-2122
Mailing address
16804 S MALLOY PRAIRIE RD, CHENEY, WA 99004-5052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60238003
WA
Other
Enumeration date
02/19/2014
Last updated
02/20/2014
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