Individual
DR. JULIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7504 86TH STREET SW, SUITE 150, VITAL FAMILY CHIROPRACTIC, LAKEWOOD, WA 98498
(843) 200-9400
(888) 411-8529
Mailing address
7504 86TH STREET SW, SUITE 150, VITAL FAMILY CHIROPRACTIC, LAKEWOOD, WA 98498
(843) 200-9400
(888) 411-8529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2166
SC
111N00000X
Chiropractor
Primary
CH60191318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2167
—
SC
01
—
U7089
UPIN
SC
Enumeration date
04/27/2006
Last updated
11/23/2016
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