Individual
LESLIE MARIE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12721 E SHANNON AVE, APT. 107, SPOKANE VALLEY, WA 99216-1651
(509) 432-3130
Mailing address
12721 E SHANNON AVE, APT. 107, SPOKANE VALLEY, WA 99216-1651
(509) 432-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 60199151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 60199151
RN LISCENSE
WA
Enumeration date
01/28/2011
Last updated
01/28/2011
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