ENOCH HEILESON

YAKIMA, WA
NPI1154858363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: WA  PS60756338)
Additional Taxonomies222Z00000X Orthotist
(Licence: WA  OI60739280)
Enumeration Date2017-05-18
Last Update Date2022-07-21
Business Address
ENOCH HEILESON CPO
313 S 9TH AVE
YAKIMA, WA 98902-3516
Phone number: 509-248-8040
Mailing Address
ENOCH HEILESON CPO
313 S 9TH AVE
YAKIMA, WA 98902-3516
Phone number: 509-248-8040