Individual
LESLIE ELIZABETH WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
11925 NE 148TH ST, KIRKLAND, WA 98034-4512
(773) 519-3755
Mailing address
11925 NE 148TH ST, KIRKLAND, WA 98034-4512
(773) 519-3755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60920384
WA
Other
Enumeration date
04/01/2019
Last updated
06/11/2019
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