Organization
DATIVA BODY AND MIND HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET NAKIMERA KYAKUWA NURSE PRACTITIONER (FAMILY /PSYCHIATRIC NURSE PRACTI)
(817) 323-4275
Entity
Organization
Contact information
Practice address
100 N HOWARD ST, SPOKANE, WA 99201-0508
(817) 323-4275
Mailing address
100 N HOWARD ST # R, SPOKANE, WA 99201-0508
(214) 335-6068
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/03/2024
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