Individual
MR. JOSHUA RUSSELL WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
275 W. VINE ST., NAPAVINE, WA 98532
(360) 262-3406
(360) 242-0125
Mailing address
199 SCHOOLHOUSE RD., WINLOCK, WA 98596
(360) 880-1751
(360) 242-0125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00166240
WA
Other
Enumeration date
09/28/2020
Last updated
09/29/2020
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