NPI Provider: 1689670465
Contact Name: Wasem Rick
Position: President
Phone: (509) 758-2565
Wasem’s Inc. Information:
Wasem’s Inc. organization have npi 1689670465, taxonomy code is 332B00000X with license number is MD036191Y in . This Business address located in 800 6th St, Clarkston, WA 99403 Washington.
Practice Location
Address: 800 6th St, Clarkston, WA 99403
Phone: (509) 758-2565
Business Location
Address: 800 6th St, Clarkston, WA 99403
Phone: (509) 758-2565
Fax: (509) 758-2151
Taxonomy
Taxonomy Code: 332B00000X
License Number: MD036191Y
License Number of State: WA
Primary Taxonomy Switch: X
Enumeration Date: 6/24/2005
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