Individual
MS. LAURA LEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
2504 E 5TH AVE, SPOKANE, WA 99202-4174
(509) 768-6074
Mailing address
2504 E 5TH AVE, SPOKANE, WA 99202-4174
(509) 768-6074
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10026315
WA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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