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Individual

ANDREA ANN WEIDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(612) 382-1781
Mailing address
9217 27TH AVE NE, SEATTLE, WA 98115-3440
(612) 382-1781

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60603251
WA

Other

Enumeration date
05/10/2024
Last updated
05/10/2024
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