Individual
KENDALL NICOLE WEIERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 583-6079
Mailing address
3495 BELKNAP DR, WEST LINN, OR 97068-9292
(650) 999-1944
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
03/25/2021
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