Individual
WHITNEY R BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10709 N DIVISION ST, SPOKANE, WA 99218-1631
(509) 466-9008
Mailing address
8015 N GARFIELD RD, SPOKANE, WA 99224-9171
(509) 720-0349
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60096473
WA
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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