Individual
DR. JEFFREY LAWRENCE WAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, ATC
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-4184
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-4184
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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