Individual
CANDY L WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1012 S PERRY ST, SPOKANE, WA 99202-3465
(509) 434-9267
Mailing address
214 N BANNEN RD, SPOKANE VALLEY, WA 99216-2273
(509) 892-6936
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60188231
WA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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