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Individual

DR. CICELY WILHITE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(509) 922-4001
Mailing address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(509) 922-4001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60034318
WA
208000000X
Pediatrics Physician
M0966
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8542979
WA
Enumeration date
12/14/2005
Last updated
03/25/2022
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