Individual
BROOKE NICHOLE WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 COLBY AVE STE B400, EVERETT, WA 98201-1665
(425) 297-5234
Mailing address
1321 COLBY AVE STE B400, EVERETT, WA 98201-1665
(425) 297-5234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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