Organization
MKG FULL MOON INC
Active
Other names
Core Chiropractic & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BUQUICCHIO D.C. (CEO)
(206) 708-7172
Entity
Organization
Contact information
Practice address
2611 NE 125TH ST, SUITE 240, SEATTLE, WA 98125-4373
(206) 708-7172
(206) 913-2568
Mailing address
2611 NE 125TH ST, SUITE 240, SEATTLE, WA 98125-4373
(206) 708-7172
(206) 913-2568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003354
WA
Other
Enumeration date
08/18/2009
Last updated
11/09/2011
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