Organization
CHIROPRACTIC LIFESTYLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON SIMANS (OFFICE MANAGER)
(360) 373-2225
Entity
Organization
Contact information
Practice address
991 NE RIDDELL RD, BREMERTON, WA 98310
(360) 373-2225
(360) 373-4764
Mailing address
991 NE RIDDELL RD, BREMERTON, WA 98310
(360) 373-2225
(360) 373-4764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002551
WA
111N00000X
Chiropractor
CH00033792
WA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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