Individual
MS. ELIZABETH MARIE ALLEN-RACICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1013 BRIDGE STREET, CLARKSTON, WA 99403
(509) 751-9377
Mailing address
731 BURNELL AVE., LEWISTON, ID 83501-4985
(208) 798-3215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022912
WA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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