Individual provider · Type 1 NPI
Jolene M. Wixom, LMP
Specialist · Spokane, WA
NPI number
1740489061
Active
Practice location
1103 E Garland Ave
Spokane, WA 99207-3035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00019944 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1740489061
Jolene M. Wixom, LMP's National Provider Identifier is 1740489061, issued on Jul 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Spokane, WA. The record was last updated on Jul 17, 2007.