Individual
MR. CHARLES HATFIELD WOOLLEY V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Contact information
Practice address
4707 E UPRIVER DR APT W205, SPOKANE, WA 99217-7360
(253) 381-3724
Mailing address
4707 E UPRIVER DR APT W205, SPOKANE, WA 99217-7360
(253) 381-3724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000029596
WA
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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