Organization
AILEEN LESLIE WEDVIK ARNP PLLC
Active
Organization
AILEEN LESLIE WEDVIK ARNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN WEDVIK ARNP (OWNER)
(253) 581-3075
Entity
Organization
Contact information
Practice address
4909 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 581-3075
(253) 581-3178
Mailing address
4909 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 581-3075
(253) 581-3178
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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