Individual
SAMUEL WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10614 CANYON RD E, PUYALLUP, WA 98373-4257
(253) 535-6006
(253) 535-6226
Mailing address
10614 CANYON RD E, PUYALLUP, WA 98373-4257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61003550
WA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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