Jacob Wadlingotn
NPI #1639520455 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1639520455
- Entity Type
- Individual
- Name
- Jacob Wadlingotn
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jun 22, 2016
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 829 KRISTI LN
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2867
- Phone
- (806) 268-1517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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