Individual
ALEXANDER MARCUS GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11707 E SPRAGUE AVE STE 106, SPOKANE VALLEY, WA 99206-6124
(509) 999-5657
Mailing address
16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA 99216-2830
(509) 900-3669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61357101
WA
Other
Enumeration date
11/07/2022
Last updated
05/02/2024
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