Individual
MRS. JULIE LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7608
Mailing address
16121 N WEST SHORE RD, NINE MILE FALLS, WA 99026-9605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RN00141976
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00141976
RN CREDENTIAL
WA
Enumeration date
02/28/2007
Last updated
07/08/2007
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