Organization
ONDEMAND MOBILE MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY HILLIARD-LYTHGOE ARNP (OWNER)
(352) 989-2455
Entity
Organization
Contact information
Practice address
12623 E BROADWAY AVE, SPOKANE VALLEY, WA 99216
(352) 989-2455
Mailing address
506 N SULLIVAN RD STE F PMB 217, SPOKANE VALLEY, WA 99037-8543
(352) 989-2455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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