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Individual

DAVID C PRINZ VON TECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208-1122
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60983987
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60983987
WA

Other

Enumeration date
06/11/2019
Last updated
02/19/2020
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