Individual
CHRISTINA MAE MAULOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3514 E GLASS AVE, SPOKANE, WA 99217-6918
(509) 362-3656
Mailing address
3514 E. GLASS, SPOKANE, WA 99217-6918
(509) 362-3656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60083548
WA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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