Individual
JARED BENJAMIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2508 W NOB HILL BLVD, YAKIMA, WA 98902-5104
(509) 248-5555
(509) 469-4938
Mailing address
PO BOX 8357, YAKIMA, WA 98908-0357
(509) 966-5555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH.61340613
WA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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