Individual
ALYSSA ANDREA ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
17620 140TH AVE SE, SUITE C-5, RENTON, WA 98058-6813
(425) 228-2225
Mailing address
1109 3RD ST SE, UNIT A, AUBURN, WA 98002-5754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA60343902
WA
Other
Enumeration date
04/22/2013
Last updated
11/05/2015
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