NPI 1639520455
Jacob Wadlingotn
Practice location
- Address
- 829 Kristi Ln, Los Alamos, NM 87544-2867
- Phone
- (806) 268-1517
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1639520455
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2016
- Record last updated
- 22 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.