Individual
JERRAD ELIJAH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 N WENATCHEE AVE, WENATCHEE, WA 98801-2061
(509) 662-4734
Mailing address
7567 US HIGHWAY 97, PESHASTIN, WA 98847-9711
(360) 854-8214
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
WA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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