SearchOhio363AM0700X

Desta Wako

NPI 1033984844 · on the registry since 2023

Practice

Address
3324 Wigham Ct
Pickerington, OH 43147
Phone
(614) 316-9582

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio