Organization
LIVING WELL PAIN CLINICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE WEDLOCK (BILLER / OFFICE MANAGER)
(206) 842-4929
Entity
Organization
Contact information
Practice address
19265 STATE ROUTE 2, STE 200A, MONROE, WA 98272-1522
(206) 842-4929
Mailing address
19265 STATE ROUTE 2, STE 200A, MONROE, WA 98272-1522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034750
WA
Other
Enumeration date
09/08/2014
Last updated
09/30/2015
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