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Individual

MS. JOLENE MARIE WOODLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9911 N NEVADA ST STE 200, SPOKANE, WA 99218-1298
(509) 626-9420
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60862625
WA
363AM0700X
Medical Physician Assistant
18293
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01114965
RAILROAD MEDICARE
CA
Enumeration date
02/20/2006
Last updated
01/03/2024
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