Individual
MRS. SUJANE PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
123 E INDIANA AVE STE 100, SPOKANE, WA 99207-2313
(509) 241-4220
(509) 241-4269
Mailing address
123 E INDIANA AVE STE 100, SPOKANE, WA 99207-2313
(509) 241-4220
(509) 241-4269
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP30007827
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP30007827
—
WA
Enumeration date
03/03/2006
Last updated
01/21/2009
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