Individual
ISAAC W WAK WAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 FORTYN RD, GRAND COULEE, WA 99133
(509) 633-1471
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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