NPI 1336911957

William Wise-Gendusa

Practitioner Religious Nonmedical Practitioner Spokane, WA

Practice location

Address: 4815 N Assembly St, Spokane, WA 99205-6185
Phone: (509) 434-7762
Mailing address: 5314 W Bismark Ave, Spokane, WA 99208-6296

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Washington →

Registry record

NPI: 1336911957
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2023
Record last updated: 26 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.