MS. Ennessa Ivy Gorkovchenko, PA-C
NPI #1124532502 in Spokane, Washington
Provider Information
- NPI Number
- 1124532502
- Entity Type
- Individual
- Name
- MS. Ennessa Ivy Gorkovchenko, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 21, 2017
- Last Updated
- Sep 28, 2018
Practice Location
- Address
- 217 W CATALDO AVE
- City
- Spokane
- State
- Washington
- ZIP Code
- 99201-2217
- Phone
- (509) 747-6194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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