Individual
RAEMARIS GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5101 NE 48TH ST, VANCOUVER, WA 98661-2844
(520) 647-1895
Mailing address
5101 NE 48TH ST, VANCOUVER, WA 98661-2844
(520) 647-1895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61001091
WA
225700000X
Massage Therapist
—
WA
Other
Enumeration date
05/16/2019
Last updated
11/05/2020
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