Individual
ALEXIS STEPHEN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17 E 8TH AVE, SPOKANE, WA 99202-1201
(509) 638-7426
Mailing address
19520 E KALAMA AVE, GREENACRES, WA 99016-5304
(509) 638-7426
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RN00157932
WA
Other
Enumeration date
11/22/2023
Last updated
11/27/2023
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