Individual
SARA LETELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG 60819011
Contact information
Practice address
2308 W 3RD AVE, SPOKANE, WA 99201-5810
(206) 931-8825
Mailing address
PO BOX 4627, SPOKANE, WA 99220-0627
(509) 624-1244
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60819011
WA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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