Individual
SUSAN KIMBERLY GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4815 N. ASSEMBLY STREET, SPOKANE, WA 99205-6194
(509) 434-7000
(509) 434-7105
Mailing address
4717 S. HELENA STREET, SPOKANE, WA 99223-6542
(509) 838-2560
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN00064581
WA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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