Individual
MISS LEESA GUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15701 E SPRAGUE AVE, SUITE C, SPOKANE VALLEY, WA 99037-5019
(509) 926-9355
Mailing address
PO BOX 13264, SPOKANE VALLEY, WA 99213-3264
(509) 990-8208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024194
WA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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