Individual
MR. MARC DEWAYNE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12815 CANYON RD E, SUITE I, PUYALLUP, WA 98373-5786
(253) 256-4769
Mailing address
12815 CANYON RD E, STE K, PUYALLUP, WA 98373-5104
(253) 256-4769
(253) 268-2057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002989
WA
Other
Enumeration date
01/18/2007
Last updated
04/21/2017
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