Individual
CORRINE L BRESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-9440
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 944-9440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044705
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447247499
—
WA
01
—
263652
LABOR & INDUSTRIES
WA
Enumeration date
10/04/2005
Last updated
04/23/2021
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