Individual
DR. JACQUELINE MENDOZA BABOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
205 N UNIVERSITY, #4, SPOKANE, WA 99206
(509) 928-8181
(208) 772-9949
Mailing address
9116 E SPRAGUE AVE, #278, SPOKANE, WA 99206
(509) 928-8181
(208) 772-9949
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P218
ID
213E00000X
Podiatrist
Primary
PO00000715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116623
—
WA
Enumeration date
08/22/2005
Last updated
11/10/2015
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