Individual
WENDY CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 SPRING ST, SEATTLE, WA 98104-1393
(206) 323-0930
(206) 432-3591
Mailing address
1300 SPRING ST, SEATTLE, WA 98104-1393
(206) 323-0930
(206) 432-3591
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
CM60715254
WA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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