DESTA A WAKO

PICKERINGTON, OH
NPI1033984844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OH  883534155)
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
DESTA A WAKO
3324 WIGHAM CT
PICKERINGTON, OH 43147-9523
Phone number: 614-316-9582
Mailing Address
DESTA A WAKO
3324 WIGHAM CT
PICKERINGTON, OH 43147-9523
Phone number: 614-316-9582
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