Organization
BALDWIN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM GEDEVANISHVILI (CLINIC ADMINISTRATOR)
(253) 854-3185
Entity
Organization
Contact information
Practice address
10700 SE 208TH ST STE 207, KENT, WA 98031-5545
(253) 854-3185
(253) 852-9210
Mailing address
10700 SE 208TH ST STE 207, KENT, WA 98031-5545
(253) 854-3185
(253) 852-9210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001940
WA
Other
Enumeration date
09/26/2006
Last updated
10/24/2007
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