Individual
MICHELLE GRAY MARCONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4537 SO. YAKIMA AVE, TACOMA, WA 98418
(253) 475-3334
Mailing address
18420 123RD ST E, BONNEY LAKE, WA 98391-8117
(253) 475-3334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034645
WA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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