Individual
DR. SHEILA DABALOS SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
361 E MAIN ST, OTHELLO, WA 99344-1055
(509) 488-3346
(509) 488-3347
Mailing address
455 S 18TH AVE, OTHELLO, WA 99344-1580
(509) 488-1558
(509) 488-3347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154599454
GROUP NPI
WA
Enumeration date
03/06/2007
Last updated
11/29/2012
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