Individual
JEAN MARIE SCARZELLO WAKELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS DC
Contact information
Practice address
6412 20TH STREET COURT WEST, FIRCREST, WA 98466-6227
(253) 566-8800
(253) 566-7092
Mailing address
6412 20TH STREET COURT WEST, FIRCREST, WA 98466-6227
(253) 566-8800
(253) 566-7092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53872
LABOR & INDUSTRIES
—
Enumeration date
01/08/2007
Last updated
05/01/2008
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