Individual
MS. MALIA M ETHREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W MISSION AVE, SPOKANE, WA 99201-2358
(509) 326-4643
(509) 326-4802
Mailing address
120 W MISSION AVE, SPOKANE, WA 99201-2358
(509) 326-4643
(509) 326-4802
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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