ZACHARY WAYNE CARLSON

SPOKANE, WA
NPI1912765892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OK  202415423)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
Mr. ZACHARY WAYNE CARLSON APRN
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-5445
Mailing Address
Mr. ZACHARY WAYNE CARLSON APRN
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number:
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