Individual
LOGAN JACOB NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
8506 N MAYFAIR ST APT 27, SPOKANE, WA 99208-5967
(509) 714-6063
Mailing address
8506 N MAYFAIR ST APT 27, SPOKANE, WA 99208-5967
(509) 714-6063
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LR15958602
WA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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