Individual
WINTANA OQUBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E 8TH AVE, SPOKANE, WA 99202-1201
(509) 474-5678
Mailing address
563 W 2920 S, SYRACUSE, UT 84075-9569
(916) 846-8870
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13153183-3101
UT
164W00000X
Licensed Practical Nurse
19806
HI
164X00000X
Licensed Vocational Nurse
707048
CA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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