Individual
CARLIE LEANN DURGELOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 5TH ST, CHENEY, WA 99004-1619
(509) 720-3062
Mailing address
526 5TH ST, CHENEY, WA 99004-1619
(509) 720-3062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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