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Individual

SUZY J FIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
8905 GRAVELLY LAKE DR SW, CHITTENDEN CHIROPRACTIC, LAKEWOOD, WA 98499-3109
(253) 581-1533
(253) 588-2145
Mailing address
8905 GRAVELLY LAKE BLVD SW, CHITTENDEN CHIROPRACTIC, LAKEWOOD, WA 98499-2010
(253) 581-1533
(253) 588-2145

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
91-1550534
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
91-1550534
STEPHEN CHITTENDEN
WA
Enumeration date
02/02/2007
Last updated
05/09/2012
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