Individual
AMMON BENJAMIN WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(866) 240-0808
Mailing address
22125 W MCFARLANE RD, MEDICAL LAKE, WA 99022-9662
(509) 671-5375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
08/04/2024
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