Individual
CRYSTAL LEE WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N MONROE ST, SPOKANE, WA 99201-2104
(509) 771-6572
Mailing address
1657 E LONGFELLOW AVE, SPOKANE, WA 99207-4321
(509) 496-3163
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61446275
WA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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