Individual
MERRY LOUISE CHARBONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 E NORA AVE, SPOKANE, WA 99207-2458
(509) 484-1205
Mailing address
928 E NORA AVE, SPOKANE, WA 99207-2458
(509) 484-1205
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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