EMMA WASKOM

COLUMBUS, IN
NPI1114747680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004864A)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: AR  PA-1320)
Enumeration Date2024-10-10
Last Update Date2025-08-15
Business Address
EMMA WASKOM PA
2326 18TH ST STE 230
COLUMBUS, IN 47201-5359
Phone number: 812-376-9261
Mailing Address
EMMA WASKOM PA
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315