Organization
LICE EXPERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE REPP (MANAGER)
(509) 703-9290
Entity
Organization
Contact information
Practice address
8615 N DIVISION ST, SUITE A, SPOKANE, WA 99208-5945
(509) 703-9290
Mailing address
8615 N DIVISION ST, SUITE A, SPOKANE, WA 99208-5945
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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