Individual
JOSHUA MICHAEL WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7904 GARDEN AVE, YAKIMA, WA 98908-9029
(509) 469-1009
Mailing address
7904 GARDEN AVE, YAKIMA, WA 98908-9029
(509) 469-1009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00057308
WA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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