Provider First Line Business Practice Location Address:
3507 NE SUNSET BLVD
Provider Second Line Business Practice Location Address:
ACTIVE CHIROPRACTIC INC
Provider Business Practice Location Address City Name:
KENTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-277-0222
Provider Business Practice Location Address Fax Number:
425-277-0246
Provider Enumeration Date:
11/17/2006