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Organization

WILDECARE EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WILDE REGISTERED NURSE (OWNER)
(208) 420-7078
Entity
Organization

Contact information

Practice address
24244 E DESMET RD, LIBERTY LAKE, WA 99019-7609
(208) 420-7078
Mailing address
24244 E DESMET RD, LIBERTY LAKE, WA 99019-7609
(208) 420-7078

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary

Other

Enumeration date
11/24/2025
Last updated
11/24/2025
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