Ichiro Pllc

NPI #1114372117 in Bonney Lake, Washington

Provider Information

NPI Number: 1114372117
Entity Type: Organization
Organization Name: Ichiro Pllc
Primary Specialty: Chiropractor
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 18008 STATE ROUTE 410 E
Address 2: SUITE D
City: Bonney Lake
State: Washington
ZIP Code: 98391-7113
Phone: (253) 447-8440

Authorized Official

Name: JEFF BARNES
Title: MANAGER
Phone: (425) 614-9939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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