BLAZE J BURNHAM

SPOKANE VALLEY, WA
NPI1174551022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP30004598)
Enumeration Date2006-06-29
Last Update Date2010-07-12
Business Address
-- BLAZE J BURNHAM ARNP
13607 E SPRAGUE AVE
SPOKANE VALLEY, WA 99216-0809
Phone number: 509-892-3113
Mailing Address
-- BLAZE J BURNHAM ARNP
13607 E SPRAGUE AVENUE
SPOKANE VALLEY, WA 99206
Phone number: 509-892-3113