Individual
GALINA KOROVNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 N MONROE ST, SPOKANE, WA 99205-2853
(509) 326-3795
Mailing address
3724 N COOK ST APT F226, SPOKANE, WA 99207-5887
(509) 690-0855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60235324
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60235324
STATE LICENSE
WA
Enumeration date
11/03/2011
Last updated
11/03/2011
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