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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIMON WAKO

Active Sole Proprietor

SIMON WAKO is a Student (Health Education/Training) healthcare provider located in LANSDOWNE, Pennsylvania. NPI 1053878447 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · LANSDOWNE, PA

Registration Details

NPI Number
1053878447
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2019 (7.4970825508583 yrs)
Last Updated
Feb 21, 2019
Sole Proprietor
Yes

Practice Information

Address
239 N WYCOMBE AVE
LANSDOWNE, PA, 190501722
Browse PA providers · Browse ZIP 19050
Phone
2672668265
Primary Specialty
Student (Health Education/Training)
390200000X
Additional Specialty
Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.