Individual
MRS. LEIGH ANNE TRIVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5901 N LIDGERWOOD ST STE 126, SPOKANE, WA 99208-1122
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00100-00387
NC
363A00000X
Physician Assistant
Primary
PA60201698
WA
363AM0700X
Medical Physician Assistant
PA-2013-0041
NM
Other
Enumeration date
12/04/2006
Last updated
06/14/2022
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