Individual
FAYE G MEZENGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12314 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
(206) 596-6742
(509) 474-0178
Mailing address
12314 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
(206) 596-6742
(509) 474-0178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60289346
WA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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