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Individual

MRS. NICHOLA WILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
706 RENTSCHLER LN, TOPPENISH, WA 98948-1100
(509) 865-7630
(509) 865-5116
Mailing address
706 RENTSCHLER LN, PO BOX 831, TOPPENISH, WA 98948-1100
(509) 865-7630
(509) 865-5116

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/28/2014
Last updated
04/28/2014
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