Individual
MARA LEA GEFFKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
757 E HOLLAND AVE, SPOKANE, WA 99218-1257
(509) 444-6367
(509) 444-6371
Mailing address
757 E HOLLAND AVE, SPOKANE, WA 99218-1257
(509) 444-6367
(509) 444-6371
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8440760
—
WA
Enumeration date
01/13/2006
Last updated
03/07/2023
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