Most Relevant Information
Provider Data
NPI Number: | 1003545674 |
Provider Name: | CLAUDIA ELIZABETH MIMNA |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/08/2022 |
Last Updated: | 11/07/2022 |
Provider Practice Location
107 S DIVISION ST
SPOKANE
WA
992021510
Practice Location Phone/Fax
Phone: | 5098384651 |
Fax: |
Provider Mailing Location
107 S DIVISION ST
SPOKANE
WA
992021510
Provider Mailing Phone/Fax
Phone: | 5098384651 |
Fax: |