MR. Jake Washkowiak

NPI #1154856284 in La Salle, Illinois

Provider Information

NPI Number: 1154856284
Entity Type: Individual
Name: MR. Jake Washkowiak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 26, 2017
Last Updated: Apr 26, 2017

Practice Location

Address: 2152 LAHARPE ST
City: La Salle
State: Illinois
ZIP Code: 61301-1452
Phone: (815) 326-2170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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