Individual
DR. MARA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1151 NW SAMMAMISH RD, #101, ISSAQUAH, WA 98027-8937
(425) 369-1040
Mailing address
1151 NW SAMMAMISH RD, #101, ISSAQUAH, WA 98027-8937
(425) 369-1040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60455045
WA
Other
Enumeration date
04/29/2014
Last updated
06/30/2015
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