Individual
JEFFREY PRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
512 N YOUNG ST STE C, KENNEWICK, WA 99336-7839
(509) 736-2225
Mailing address
512 N YOUNG ST STE C, KENNEWICK, WA 99336-7839
(509) 736-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11090849-1202
UT
Other
Enumeration date
05/16/2019
Last updated
06/11/2019
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