| Dativa Body And Mind Healthcare Pllc | |
|
100 N Howard St Ste R Spokane WA 99201-0508 | |
| (817) 323-4275 | |
| Not Available |
| Full Name | Dativa Body And Mind Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 N Howard St Ste R, Spokane, Washington |
| Authorized Official Name and Position | Margaret Nakimera Kyakuwa (NURSE PRACTITIONER) |
| Authorized Official Contact | 8173234275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dativa Body And Mind Healthcare Pllc 100 N Howard St Ste R Spokane WA 99201-0508 Ph: (817) 323-4275 | Dativa Body And Mind Healthcare Pllc 100 N Howard St Ste R Spokane WA 99201-0508 Ph: (817) 323-4275 |
| NPI Number | 1376399774 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376399774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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