Individual
TAMARA REAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9914 N COMANCHE DR, SPOKANE, WA 99208-9382
(509) 294-1225
Mailing address
9914 N COMANCHE DR, SPOKANE, WA 99208-9382
(509) 294-1225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00044259
WA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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