Individual
MRS. LISA ANN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
13608 E 24TH AVE, SPOKANE VALLEY, WA 99216-0441
(509) 926-6915
Mailing address
13608 E 24TH AVE, SPOKANE VALLEY, WA 99216-0441
(509) 926-6915
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00066652
WA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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