Jason Light

NPI #1972043958 in Spokane, Washington

Provider Information

NPI Number
1972043958
Entity Type
Individual
Name
Jason Light
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Feb 24, 2017
Last Updated
May 30, 2019

Practice Location

Address
1700 S ASSEMBLY ST STE 300
ZIP Code
99224-2116
Phone
(509) 892-9241

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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