GARRETT CLAY WISTISEN

MOSES LAKE, WA
NPI1124824370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP61662619)
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
Mr. GARRETT CLAY WISTISEN FNP
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837-4637
Phone number: 509-793-9770
Mailing Address
Mr. GARRETT CLAY WISTISEN FNP
1333 E LANDON ST
MOSES LAKE, WA 98837-5700
Phone number: 801-473-4663
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