Individual
JANET LEE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12121 E BROADWAY, BLDG 5B, SPOKANE VALLEY, WA 99206
(509) 921-9800
(509) 921-9810
Mailing address
12121 E BROADWAY, BLDG 5B, SPOKANE VALLEY, WA 99206
(509) 921-9800
(509) 921-9810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022569
WA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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