Individual
MS. MARGARET ANN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
390 ERICKSEN AVE NE, BAINBRIDGE ISLAND, WA 98110-1854
(206) 883-7422
Mailing address
390 ERICKSEN AVE NE, BAINBRIDGE ISLAND, WA 98110-1854
(206) 883-7422
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA00004399
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152509
LABOR AND INDUSTRIES
WA
Enumeration date
03/20/2013
Last updated
03/20/2013
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