Individual
ANGELA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA60727375
—
WA
Enumeration date
06/05/2017
Last updated
06/05/2017
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