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Individual

RAYMON D MCNIVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A. CCC-A

Contact information

Practice address
2309 N DIVISION ST STE 1, SPOKANE, WA 99207-2110
(509) 993-6348
Mailing address
2309 N DIVISION ST STE 1, SPOKANE, WA 99207-2110
(509) 993-6348

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
60120785
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0259611
L&I
WA
05
2005965
WA
Enumeration date
12/22/2009
Last updated
09/13/2021
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