Individual
MRS. CHRISTY LYNN CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22910 E APPLE WAY, SUITE 3, LIBERTY LAKE, WA 99019-8605
(509) 891-2856
(509) 891-0125
Mailing address
22910 E APPLEWAY, SUITE 3, LIBERTY LAKE, WA 99019-8606
(509) 891-2856
(509) 891-0125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602 016 543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71-0864746
TAX ID
WA
05
—
9052374
—
WA
Enumeration date
05/01/2007
Last updated
11/07/2011
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