Individual
ADAM JOHN WALLENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
916 KOALA DR, OMAK, WA 98841-9759
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61218697
WA
Other
Enumeration date
03/07/2020
Last updated
12/09/2024
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