Individual
LINDA R BIRDTAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 483-7535
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 483-7535
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00040652
WA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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