BENJAMIN NICHOLS

WALLA WALLA, WA
NPI1407204811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60694546)
Enumeration Date2016-05-25
Last Update Date2021-03-22
Business Address
BENJAMIN NICHOLS
1120 W ROSE ST
WALLA WALLA, WA 99362-1662
Phone number: 509-525-6650
Mailing Address
BENJAMIN NICHOLS
1120 W ROSE ST
WALLA WALLA, WA 99362-1662
Phone number: 509-525-6650
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