Individual
DENEESE MARIE WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Mailing address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60934859
WA
Other
Enumeration date
04/24/2019
Last updated
02/05/2024
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