Individual
MUKHLIS AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E SIERRA CT, SPOKANE, WA 99208
(509) 263-6697
Mailing address
305 E SIERRA CT, SPOKANE, WA 99208-5788
(509) 263-6697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1600070346
WA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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