Individual
BAILEY LEE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Mailing address
1414 N CEDAR ST, SPOKANE, WA 99201-2755
(509) 714-8674
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
WA
Enumeration date
11/29/2022
Last updated
11/29/2022
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