Individual
MISS KAYLA ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
3514 FREMONT AVE N, SEATTLE, WA 98103-8814
(206) 634-1300
Mailing address
3514 FREMONT AVE N, SEATTLE, WA 98103-8814
(206) 634-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60628399
WA
Other
Enumeration date
01/31/2016
Last updated
01/07/2019
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