Individual
RUTH NASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 N MOLTER RD STE 250, LIBERTY LAKE, WA 99019-7582
(509) 893-9939
(509) 893-9107
Mailing address
1105 S WOODLAWN RD, SPOKANE VALLEY, WA 99216-0558
(509) 936-4463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60124603
WA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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