Individual
MISTY D SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5628 N DIVISION ST STE D1, SPOKANE, WA 99208-1268
(509) 484-8069
(509) 462-4086
Mailing address
910 N WASHINGTON ST STE 209, SPOKANE, WA 99201-2260
(509) 484-8069
(509) 462-4086
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00003521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8377079
—
WA
Enumeration date
04/26/2007
Last updated
07/09/2007
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