Individual
MARY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
217 W CATALDO AVE, SPOKANE, WA 99201-2217
(509) 624-2326
(509) 744-3040
Mailing address
217 W CATALDO AVE, SPOKANE, WA 99201-2217
(509) 624-2326
(509) 744-3040
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001718
WA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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