Individual
RAELYNN ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
Mailing address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
617449-12
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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