Individual
DR. KRISTIN DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1700 132ND ST SE, SUITE C, MILL CREEK, WA 98012-5309
(425) 338-1555
Mailing address
1700 132ND ST SE, SUITE C, MILL CREEK, WA 98012-5309
(425) 338-1555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60545369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH60545369
WA LICENSE
WA
Enumeration date
04/15/2015
Last updated
04/15/2015
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