Individual
WENDIE RILEY IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CRP
Contact information
Practice address
5310 138TH ST E, TACOMA, WA 98446-4124
(253) 777-9991
Mailing address
16827 119TH AVENUE CT E, PUYALLUP, WA 98374-9512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017869
WA
Other
Enumeration date
10/23/2006
Last updated
10/09/2008
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