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Individual

MS. BARBARA WIESENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1302 N 79TH ST, SEATTLE, WA 98103-4846
(206) 459-7661
Mailing address
1302 N 79TH ST, SEATTLE, WA 98103-4846
(206) 459-7661

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00108970
WA

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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