Individual
MAHOULOME HAROLD GUIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12121 E MISSION AVE STE C, SPOKANE VALLEY, WA 99206-4832
(509) 280-7164
Mailing address
12121 E MISSION AVE STE C, SPOKANE VALLEY, WA 99206-4832
(509) 280-7164
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
WA
Other
Enumeration date
04/02/2019
Last updated
02/19/2020
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