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Wade Williams

NPI 1972748879 · on the registry since 2008

Practice

Address
341 Three Rivers Dr.
Kelso, WA 98626
Phone
(360) 200-5079
Fax
(208) 377-0313
Organisation at this address
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
237700000X
237700000X
Also registered as
237700000X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-06

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