Individual
MIAYAH PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(509) 795-3133
Mailing address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61437854
WA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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