Organization
WILDERNESS MEDICAL RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WALLENFELSZ NP (OWNER/MANAGER)
(360) 770-6924
Entity
Organization
Contact information
Practice address
403 HILLTOP DR, CRAIG, AK 99921
(360) 770-6924
Mailing address
802 E WILLOW ST, SEQUIM, WA 98382-3114
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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