Individual
DEEANN HERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 S COOK ST, SPOKANE, WA 99223-4425
(509) 816-2969
Mailing address
4118 S COOK ST, SPOKANE, WA 99223-4425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61287310
WA
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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