Individual
WALID ESHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 S LIMESTONE A219, LEXINGTON, KY 40536-0001
(859) 257-3462
Mailing address
3520 156TH ST SW APT B6, LYNNWOOD, WA 98087-2352
(206) 606-3101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11304
KY
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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