Individual
MRS. YELENA MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12104 N DENVER DR, SPOKANE, WA 99218-1789
(509) 863-9909
Mailing address
12104 N DENVER DR, SPOKANE, WA 99218-1789
(509) 863-9909
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60058182
WA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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