Individual
RACHEL LYSNE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6025 N ASSEMBLY ST, SPOKANE, WA 99205-7674
(509) 326-8282
(509) 326-4790
Mailing address
3924 W FRANKLIN RD, SPOKANE, WA 99224-5990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC60575438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OC60575438
—
WA
Enumeration date
06/04/2016
Last updated
06/04/2016
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