Individual
HANNA WIETECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
13810 127TH AVE NE, KIRKLAND, WA 98034-2242
(425) 681-4277
Mailing address
13810 127TH AVE NE, KIRKLAND, WA 98034-2242
(425) 681-4277
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60074145
WA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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