Individual
JENEFER LEE WILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
826 N MULLAN RD STE B, SPOKANE VALLEY, WA 99206-4094
(509) 928-8550
(509) 928-8592
Mailing address
826 N MULLAN RD STE B, SPOKANE VALLEY, WA 99206-4094
(509) 928-8550
(509) 928-8592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60065995
WA
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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