Individual
MR. ISAAC H WAIRAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2745 S LORI ST, WICHITA, KS 67210-1947
(316) 518-1435
Mailing address
2745 S LORI ST, WICHITA, KS 67210-1947
(316) 518-1435
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
16-03771
KS
2279G1100X
General Care Registered Respiratory Therapist
Primary
16-03771
KS
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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