Individual
VALERIE WIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2800 D RD, GRAND JUNCTION, CO 81501-4721
(970) 255-5803
Mailing address
896 TRAPPERS CT, GRAND JUNCTION, CO 81506-8670
(970) 242-8046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14130
CO
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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