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 Date2024-11-27
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
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8200