Individual
MAILYN S FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 N KELLER, REPUBLIC, WA 99166-8804
(509) 775-3341
(509) 775-8906
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60803766
WA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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