Individual
DR. BRIAN EVAN HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF CHIROPRACT
Contact information
Practice address
6031 B 47TH AVE NE, MARYSVILLE, WA 98270
(360) 653-2312
(360) 653-9055
Mailing address
PO BOX 295, MARYSVILLE, WA 98270
(360) 653-2312
(360) 653-9055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1967
WA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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