Individual
MARY SUSAN HEWANKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 W GARDNER AVE, SPOKANE, WA 99201-2059
(509) 503-6010
Mailing address
14909 S CARSTENS RD, EDWALL, WA 99008-9611
(509) 290-7434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60107276
WA
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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