Individual
ALICE NICOLE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W 7TH AVE STE 200, SPOKANE, WA 99204-2833
(509) 850-1080
Mailing address
17212 E MONTGOMERY AVE, SPOKANE VALLEY, WA 99016-8551
(509) 270-9851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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