Individual
MR. COLTON J ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60959693
WA
Other
Enumeration date
05/01/2019
Last updated
07/22/2020
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