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Individual

NIKKI SHUMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 W KNOX AVE, SPOKANE, WA 99205-4323
(509) 354-6431
Mailing address
1403 S MCMILLAN RD, SPOKANE VALLEY, WA 99016-8850
(303) 748-0589

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
520000A
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7441017
WA
Enumeration date
01/31/2017
Last updated
01/31/2017
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