Individual
JOANNE T RADAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 N COUNTRY HOMES BLVD, SPOKANE, WA 99218-2072
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8328726
—
WA
Enumeration date
08/24/2005
Last updated
12/15/2008
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