Individual
MARIE WITHERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC ICCE
Contact information
Practice address
1415 NW 70TH ST, SEATTLE, WA 98117-5340
(206) 781-9871
Mailing address
2253 NW 61ST ST, UNIT C, SEATTLE, WA 98107-5417
(206) 781-9637
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN00112713
WA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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