Individual
VIVIENNE M KEZUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OP00001132
WA
Other
Enumeration date
04/04/2006
Last updated
03/14/2016
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