ELICIA GRACE GOODWIN

SPOKANE VALLEY, WA
NPI1285408591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61518385)
Enumeration Date2023-11-08
Last Update Date2024-02-19
Business Address
ELICIA GRACE GOODWIN
16528 E DESMET CT STE 3100
SPOKANE VALLEY, WA 99216-3522
Phone number: 509-944-9440
Mailing Address
ELICIA GRACE GOODWIN
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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