Russell Mikami
NPI #1851606586 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1851606586
- Entity Type
- Organization
- Organization Name
- Russell Mikami
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 18, 2010
- Last Updated
- Aug 18, 2010
Practice Location
- Address
- 15413 E VALLEYWAY AVE BLDG B-200
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99037-8554
- Phone
- (509) 928-3443
Authorized Official
- Name
- MRS. GLORIA MIKAMI
- Title
- BUSINESS MANAGER
- Phone
- (509) 928-3443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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