Individual
JACQUELINE HINES-KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 W MAIN AVE, RITZVILLE, WA 99169-1410
(509) 659-4800
Mailing address
1506 W HIGHLINE LN, SPOKANE, WA 99201-1911
(623) 308-4704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA61096605
WA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2020
Last updated
08/09/2022
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