Individual
ROBIN KATE BEVIN WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
640 NE MAJOR ST, STEVENSON, WA 98648-6347
(631) 258-6493
Mailing address
PO BOX 1351, STEVENSON, WA 98648-1351
(631) 258-6493
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC204758
OR
171100000X
Acupuncturist
Primary
AC61019238
WA
171100000X
Acupuncturist
LAC0100030
AZ
Other
Enumeration date
05/12/2021
Last updated
12/29/2022
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