Individual
JOSHUA RANDALL WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
1360 SW GREELEY ST, COLLEGE PLACE, WA 99324-5004
(509) 301-8969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61084954
WA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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