Individual
MARY IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W 1ST AVE, SUITE 226, SPOKANE, WA 99201-4135
(509) 863-5851
(509) 838-1390
Mailing address
1325 W 1ST AVE, SUITE 226, SPOKANE, WA 99201-4135
(509) 863-5851
(509) 838-1390
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
IVERSMI347QP
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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