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Individual

ALICIA BURNSIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1800 SE MILE HILL DR STE 150, PORT ORCHARD, WA 98366-3517
(360) 874-0232
Mailing address
1800 SE MILE HILL DR STE 150, PORT ORCHARD, WA 98366-3517
(360) 874-0232

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
61230696
WA

Other

Enumeration date
11/08/2021
Last updated
11/08/2021
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