Individual
TOVA WILLET SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO61186739
Contact information
Practice address
1302 W GARDNER AVE, SPOKANE, WA 99201-2059
(509) 904-3750
Mailing address
18818 E MARLIN DR, SPOKANE VALLEY, WA 99027-9560
(509) 904-3750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CO61186739
WA
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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