Individual
JOSE LUIS AVILA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6417 N LEE ST, SPOKANE, WA 99217-7610
(509) 608-2043
Mailing address
6417 N LEE ST, SPOKANE, WA 99217-7610
(509) 608-2043
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61378914
WA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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