Individual
MADISON ELIZABETH BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S FREYA ST, SPOKANE, WA 99202-4862
(509) 210-3741
Mailing address
104 S FREYA ST, SPOKANE, WA 99202-4862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.LP.61561856.MSL
WA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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