Organization
CENTRAL VALLEY SCHOOL DISTRICT#356
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY COOKE PETTIT REGISTERED NURSE (LPN/PARAEDUCATOR)
(509) 922-1701
Entity
Organization
Contact information
Practice address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
(509) 228-5300
Mailing address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
(509) 228-5300
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN00067695
—
WA
Enumeration date
12/03/2014
Last updated
12/03/2014
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