Organization
DATIVA BODY AND MIND HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET NAKIMERA KYAKUWA ARNP/PMHNP (NURSE PRACTITIONER)
(817) 323-4275
Entity
Organization
Contact information
Practice address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(817) 323-4275
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(817) 323-4275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
06/03/2024
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