Individual
JAMES G VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
628 3RD ST SE, PUYALLUP, WA 98372-3208
(253) 845-6636
Mailing address
628 3RD ST SE, PUYALLUP, WA 98372-3208
(253) 845-6636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036200
—
WA
Enumeration date
02/12/2007
Last updated
07/08/2007
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