Individual
LETITIA L MCCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 444-8200
(509) 444-7806
Mailing address
203 N WASHINGTON ST, SPOKANE, WA 99201-0233
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8388431
—
WA
Enumeration date
07/02/2006
Last updated
04/12/2018
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