SearchWashington363A00000X

Ilan Wilde, PAC

NPI 1265489801 · on the registry since 2006

Practice

Address
518 W 1st Ave
Toppenish, WA 98948
Phone
(509) 865-5600
Fax
(509) 865-5783
Organisation at this address
Yakima Vly Farm Workers Phcy
Yakima Valley Farm Worker Clinic
Yakima Valley Farm Workers Clinic
Yakima Valley Farm Workers Clinic
Yakima Valley Farm Workers Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-06

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