Individual
VERA G ALTUKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. M. T
Contact information
Practice address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
(509) 482-1983
Mailing address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
(509) 482-1983
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60161808
WA
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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