Individual
MR. WENDELL MACK HOMBEL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
205 E 9TH ST, DEER PARK, WA 99006-5008
(509) 953-0073
Mailing address
205 E 9TH ST, DEER PARK, WA 99006-5008
(509) 953-0073
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MA60117552
WA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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