Individual
CANDICE HISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-P
Contact information
Practice address
316 W BOONE AVE STE 777, SPOKANE, WA 99201-2323
(509) 755-5100
Mailing address
316 W BOONE AVE STE 777, SPOKANE, WA 99201-2323
(509) 755-5100
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CM60723697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM60723697
STATE OF WASHINGTON
WA
Enumeration date
07/12/2019
Last updated
07/12/2019
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