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Search › Washington › 101YA0400X

Ismael Bazan, CDPT

NPI 1073738456 · on the registry since 2007

Practice

Address
720 W Court St
Suite 8 Nueva Esperanza
Pasco, WA 99301
Phone
(509) 545-6506
Fax
(509) 546-0520
Organisation at this address
Fourth Dimension Living, Foundations
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Washington