Provider Demographics
NPI:1194029595
Name:PARESA, CHERIS (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERIS
Middle Name:
Last Name:PARESA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1853
Mailing Address - Country:US
Mailing Address - Phone:253-863-9695
Mailing Address - Fax:253-863-9694
Practice Address - Street 1:1818 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1853
Practice Address - Country:US
Practice Address - Phone:253-863-9695
Practice Address - Fax:253-863-9694
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60020433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor