KENTON WANDASAN, PA-C
Physician Assistant
Active
Individual
NPI: 1104669449
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1104669449 is the National Provider Identifier for KENTON WANDASAN, PA-C, a Physician Assistant provider located in Washington, DC. This NPI was enumerated on June 14, 2024.
KENTON WANDASAN, PA-C practices at 3800 RESERVOIR RD NW, Washington, DC 20007.
Quick Facts
- NPI
- 1104669449
- Type
- Individual
- Enumerated
- Jun 14, 2024
- Last Updated
- Oct 2, 2024
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