Individual
MADISON ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
2983 N CASA CT, COEUR D ALENE, ID 83814-5889
(816) 507-3657
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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