Individual
MATTHEW SANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 S WILLAMETTE CT, SPOKANE, WA 99223-2245
(253) 208-8508
Mailing address
41 E 27TH AVE, SPOKANE, WA 99203-2430
(253) 208-8508
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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