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AILEEN LESLIE WEDVIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4909 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 581-3075
(253) 581-3178
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 589-6484
(253) 984-1079

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005688
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9653155
WA
Enumeration date
06/07/2007
Last updated
07/21/2022
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