ELISSA MICHELLE BLACK

SPOKANE VALLEY, WA
NPI1659896892
Former NameELISSA MICHELLE HARRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61588597)
Enumeration Date2017-08-09
Last Update Date2024-10-23
Business Address
ELISSA MICHELLE BLACK PA-C
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216-1875
Phone number: 509-444-8200
Mailing Address
ELISSA MICHELLE BLACK PA-C
15812 E INDIANA AVE
SPOKANE VALLEY, WA 99216-1875
Phone number: 509-444-8200
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