Provider Demographics
NPI:1710050851
Name:YARITZ, GINA M (DC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:YARITZ
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 1:20 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6221
Mailing Address - Country:US
Mailing Address - Phone:509-484-7578
Mailing Address - Fax:509-484-9441
Practice Address - Street 1:20 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6221
Practice Address - Country:US
Practice Address - Phone:509-484-7578
Practice Address - Fax:509-484-9441
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHOOOO2626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor