Individual
DR. BRENDA M VIZNAUGH-MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
201 N ROCK ST, CENTRALIA, WA 98531-4339
(360) 736-9906
(360) 736-4963
Mailing address
201 N ROCK ST, CENTRALIA, WA 98531-4339
(360) 736-9906
(360) 736-4963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000917209
GROUPS PTAN
WA
01
—
1861517666
GROUP NPI
WA
01
—
57586
L&I
WA
01
—
8868983
PTAN
WA
01
—
V15405
REGENCE
WA
Enumeration date
03/20/2007
Last updated
06/19/2012
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