Organization
DREAM DESTINY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA K. MOHR DC (PRESIDENT)
(563) 321-1698
Entity
Organization
Contact information
Practice address
4330 S 179TH ST, SEATAC, WA 98188-4141
(563) 321-1698
Mailing address
4330 S 179TH ST, SEATAC, WA 98188-4141
(563) 321-1698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003193
WA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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