Individual
OLIVIA JAE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 603-7101
Mailing address
2211 E 57TH AVE, SPOKANE, WA 99223-6626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61472983
WA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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