Individual
MS. ELISE NICOLE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 SCHOONER CT, MOSES LAKE, WA 98837-9115
(509) 855-1725
Mailing address
701 SCHOONER CT, MOSES LAKE, WA 98837-9115
(509) 855-1725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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