Organization
VITALITY CHIROPRACTIC AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN B MACEDO D.C. (PRESIDENT)
(360) 258-0264
Entity
Organization
Contact information
Practice address
2100 SE 164TH AVE, SUITE C102, VANCOUVER, WA 98683-3403
(360) 258-0264
Mailing address
2100 SE 164TH AVE, SUITE C102, VANCOUVER, WA 98683-3403
(360) 258-0264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60109615
WA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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