SearchWashington174400000X

Jolene Wixom, LMP

NPI 1740489061 · on the registry since 2007 · sole proprietor

Practice

Address
1103 E Garland Ave
Spokane, WA 99207
Phone
(509) 280-6615

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington